Management of persistent pediatric tracheostomal fistulas

Decannulation of a tracheostomy generally results in spontaneous closure. Occasionally, epithelialization results in persistence of the fistula, which may be initially treated by local curettage or cautery. Failure of these methods constitutes an indication for surgical closure. Dissection of the en...

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Bibliographic Details
Published in:Journal of pediatric surgery 1995-04, Vol.30 (4), p.566-567
Main Authors: Haynes, Jeffrey H., Bagwell, Charles E., Salzberg, Arnold M.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Cutaneous Fistula - etiology
Cutaneous Fistula - surgery
Fistula - etiology
Fistula - surgery
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Infant
Medical sciences
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Suture Techniques
Tracheal Diseases - etiology
Tracheal Diseases - surgery
Tracheostomy - adverse effects
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Summary:Decannulation of a tracheostomy generally results in spontaneous closure. Occasionally, epithelialization results in persistence of the fistula, which may be initially treated by local curettage or cautery. Failure of these methods constitutes an indication for surgical closure. Dissection of the entire tracheocutaneous tract permits fistula closure in juxtaposition to but outside the trachea and prevents any iatrogenic airway narrowing. Twelve patients have been so managed over the last 10 years, and there have been no immediate or long-term complications.
ISSN:0022-3468
1531-5037
DOI:10.1016/0022-3468(95)90132-9