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The Limberg Flap, Applicability in Persistent Tracheocutaneous Fistula Closure.

Manish Munjal¹, Shubham Munjal¹, Swati Chauhan¹

¹Oto-Rhino-Laryngologology and Head Neck Services, Dayanand Medical College & Hospital, 52-C Udham Singh Nagar, Ludhiana, Punjab India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|July 29, 2025

Summary

Persistent tracheocutaneous fistulas can cause air leaks and infections, necessitating effective surgical repair. A Limberg flap provided a robust solution for a chronic, non-healing fistula in a male patient.

Keywords:

Limberg flap Persistent Tracheocutaneous fistula

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Area of Science:

Surgical reconstruction
Plastic and reconstructive surgery

Background:

Persistent tracheocutaneous fistulas are uncommon but lead to complications like air leaks and infections.
Such fistulas can cause significant psychological distress due to scarring.

Purpose of the Study:

To evaluate the efficacy of the Limberg flap technique for repairing a non-healing tracheocutaneous fistula.
To address the challenges associated with persistent tracheocutaneous fistulas.

Main Methods:

A 45-year-old male patient with a non-healing tracheocutaneous fistula was treated.
The Limberg flap, a versatile surgical technique, was utilized for the fistula repair.

Main Results:

The Limberg flap was successfully employed to repair the persistent tracheocutaneous fistula.
The chosen surgical method addressed the chronic nature of the fistula.

Conclusions:

The Limberg flap is a viable and robust option for the surgical repair of persistent tracheocutaneous fistulas.
Effective fistula repair can improve patient outcomes and quality of life.