Full thickness skin graft as an adjunct in the repair of a recurrent benign tracheoesophageal fistula
Journal
Thoracic and Cardiovascular Surgeon
Journal Volume
53
Journal Issue
1
Pages
65-67
ISBN
15692923
Date Issued
2005
Author(s)
Abstract
Recurrent nonmalignant tracheoesophageal fistula (TEF) is a rare problem and is usually associated with high postoperative death. Operative closure of TEF should be attempted in each case, because spontaneous closure is rare. Due to the rarity of these lesions, there are no data on the superiority of the various surgical options in repairing recurrent TEF. The management of this complication is particularly difficult since there is no adequate muscle to separate the tracheal wall and the esophageal suture to help prevent recurrent TEF. We describe a treatment modality of repair of a recurrent postintubation TEF treated by a full thickness skin graft between the trachea and esophagus. This technique yields good clinical results and warrants consideration for the treatment of TEF when other conventional techniques cannot be used.
SDGs
Other Subjects
antibiotic agent; aged; antibiotic therapy; article; artificial ventilation; aspiration; case report; clinical feature; disease course; endotracheal tube; enteric feeding; female; full thickness skin graft; human; parenteral nutrition; priority journal; recurrent disease; respiratory distress; sepsis; surgical technique; tracheoesophageal fistula; treatment outcome; tube feeding; Aged; Enteral Nutrition; Female; Gastrostomy; Humans; Intubation, Intratracheal; Jejunostomy; Recurrence; Respiration, Artificial; Skin Transplantation; Tracheoesophageal Fistula; Treatment Outcome
Type
journal article