Acquired Non-malignant Cervical Trachea-Esophageal Fistula: A Case Series

Acquired non-malignant trachea-esophageal fistula (TEF) of cervical oesophagus is rare. Surgical closure of fistula is the standard treatment of choice. Our experience in management of such cases is presented. Five cases of acquired cervical TEF of varying etiology were retrospectively analysed. Two...

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Bibliographic Details
Published in:Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2019-10, Vol.71 (Suppl 1), p.286-290
Main Authors: Sikka, Kapil, Singh, Chirom Amit, Agrawal, Ruchika, Kumar, Rakesh, Thakar, Alok, Sharma, Suresh C.
Format: Article
Language:English
Subjects:
Esophagus
Fistula
Head and Neck Surgery
Medicine
Medicine & Public Health
Original
Original Article
Otorhinolaryngology
Patients
Surgical outcomes
Throat surgery
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Summary:Acquired non-malignant trachea-esophageal fistula (TEF) of cervical oesophagus is rare. Surgical closure of fistula is the standard treatment of choice. Our experience in management of such cases is presented. Five cases of acquired cervical TEF of varying etiology were retrospectively analysed. Two patients had history of migrated endoluminal stent. All the patients were treated by trans-cervical repair with muscle interposition. Tracheal Stenosis in two patients was managed concurrently. Successful repair was achieved in four cases. One patient with chronic obstructive pulmonary disease and active leprosy has residual fistula. Of the two patients with tracheal stenosis correction one was decannulated 6 month later and second has stent in situ. Post-operative vocal cord palsy occurred in one patient. Transcervical repair with muscle interposition is treatment of choice in cases of acquired nonmalignant cervical tracheoesophageal fistulas. Endoluminal stents have high tendency to migrate and are not recommended.
ISSN:2231-3796
0973-7707
DOI:10.1007/s12070-018-1281-z