Decision algorithm and surgical strategies for managing tracheocutaneous fistula

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چکیده

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Excision of tracheocutaneous fistula under local anaesthesia

Local anaesthesia, surgery, tracheocutaneous fistula. Abstract Tracheocutaneous fistula (TCF) is a known complication of tracheostomy. It can cause problems such as saliva leak, predispose to infection from external skin into respiratory tract and cosmetically not acceptable. Treatment of the underlying infection is paramount important. Persistence of tract after sufficient duration of observat...

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Systematic review of surgery for persistent pediatric tracheocutaneous fistula.

OBJECTIVES To compare the treatment outcomes and adverse event rates for primary closure compared to simple excision with healing by secondary intention for persistent tracheocutaneous fistula (TCF) in children. STUDY DESIGN Systematic review. METHODS Systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting standards. MEDLINE, Embase, Cochrane Lib...

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Tracheocutaneous Fistula Closure with Turnover Flap and Polydioxanone Plate

An alternative surgical treatment is proposed for closure of tracheocutaneous fistulas. The authors present a new technique for reconstruction of persistent tracheocutaneous fistula resultant from temporary tracheostomy. The single-stage closure under local anesthesia involves a fistulous tract turnover flap with a perforated 0.15 mm polydioxanone plate between the flap and the subcutaneous clo...

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Bronchial selective ventilation in a wide tracheocutaneous fistula

We present the treatment and management of a wide tracheocutaneous fistula after tracheotomy correlated with excessive cuff pressure in a 36-year-old woman with cerebral palsy since infancy in which persistent type II respiratory failure required continuous ventilatory support. We discuss the surgical treatment adopted for the management of this particularly wide lesion. At the end of surgery, ...

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Tracheocutaneous fistula repair with autologous auricular cartilage cap graft.

INTRODUCTION As one of the oldest recorded surgical procedures, tracheotomy remains a frequently performed procedure today, with over 110,000 U.S. cases in 2006. Complications such as tracheocutaneous fistula (TCF) formation are relatively infrequent, making single-institution studies difficult to design. Reported rates of TCF are usually less than 1% in adult patients, many of who had required...

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ژورنال

عنوان ژورنال: Journal of Thoracic Disease

سال: 2020

ISSN: 2072-1439,2077-6624

DOI: 10.21037/jtd.2020.01.08