FTP8.14 Outcomes and complications of simple layered closure of persistent tracheocutaneous fistula after tracheostomy in childhood

Abstract Up to half of all children with a tracheostomy develop persistent trachea-cutaneous fistula (TCF) after decannulation. Surgical closure it is technically easy but post-operative complications can be immediate and life-threatening. We reviewed our experience in TCF closures identify potential risk factors for complications. Methods Retrospective case records review (0-16 years) who underwent surgical between January 2010 December 2021 following the development decannulation tracheostomy. Results 67 were identified. They ranged age from 14 months 16 years (median 3 10 months) at time closure. Major medical comorbidities present 90%. Pre-operative pulse oximetry occluded was used 29 (43%). An underwater leak test performed 28 (42%). A non-suction drain Prophylactic antibiotics prescribed 30 (45%). Post-operative occurred 15 (22%): life-threatening air period 2 (3%) respiratory distress (4%) recovery area immediately surgery. None required re-tracheostomy. Three suffered pneumonia (4%), wound infections 8 (12%). unable show significant association patient or Conclusion Further analysis associations factors, necessitated guiding future practice.