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Management of tracheocutaneous fistula
Archives of Otolaryngology (Chicago, Ill. : 1960)
|September 1, 1978
Summary
Primary closure of tracheocutaneous fistulas often leads to disappointing results and complications. Excision of the tract followed by secondary intention healing is a recommended alternative treatment for tracheocutaneous fistulas.
Area of Science:
- Thoracic Surgery
- Surgical Innovation
Background:
- Tracheocutaneous fistula closure can be challenging.
- Primary closure techniques have shown disappointing outcomes and complications.
Observation:
- Primary closure of tracheocutaneous fistulas can lead to complications such as pneumomediastinum, pneumothorax, and wound breakdown.
Findings:
- A recommended alternative treatment involves excising the fistula tract down to the tracheal level.
- This method allows the wound to heal via secondary intention, promoting successful closure.
Implications:
- This approach offers a more reliable method for treating tracheocutaneous fistulas.
- Future scar revision can be performed electively if necessary, optimizing cosmetic outcomes.