FTP8.14 Outcomes and complications of simple layered closure of persistent tracheocutaneous fistula after tracheostomy in childhood
نویسندگان
چکیده
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.
منابع مشابه
Successful closure of a tracheocutaneous fistula after tracheostomy using two skin flaps: a case report
A tracheocutaneous fistula may develop when a tracheostomy orifice epithelializes during a prolonged course of healing or undernutrition. Various techniques for closing such fistulae have been reported. However, a standard procedure has not yet been established. We, herein, present a case involving a 35-year-old woman who developed a tracheocutaneous fistula after tracheostomy. We closed the fi...
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2023
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znad241.421