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Management of an acquired tracheoesophageal fistula with a fascial free flap

✍ Scribed by Richard O. Wein; Saurin R. Popat; Thomas Watson; Gregory Orlando

Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
65 KB
Volume
24
Category
Article
ISSN
1043-3074

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✦ Synopsis

Background:

Failure in the primary repair of a benign acquired tracheoesophageal fistula limits the operative options available at revision. use of a fascial free flap to treat this condition has not been previously reported.

Methods:

We review the case of a patient who had a tracheoesophageal fistula develop after percutaneous tracheostomy, who had failed previous primary repair with strap muscle interposition.

Results:

A radial forearm fascial free flap was used at revision and resulted in resolution of the fistula.

Conclusion:

Use of a fascial free flap to address a persistent acquired tracheoesophageal fistula, when an accompanying stenotic segment is not present, is a viable treatment option.

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