How I do it: closure of tracheoesophageal puncture site.
Head Neck
; 23(3): 214-6, 2001 Mar.
Article
em En
| MEDLINE
| ID: mdl-11428451
ABSTRACT
BACKGROUND:
Tracheoesophageal voice prosthesis is highly effective in providing speech after total laryngectomy. Although it is a safe method, tracheoesophageal fistulas occasionally need to be closed, usually at the request of the patient, because of leakage through an enlarging fistula. We present our technique for closure of tracheoesophageal fistula.METHODS:
An incision is made at the mucocutaneous junction of the stoma from the 9 to the 3-o'clock position. Tracheoesophageal space is dissected down to and beyond the fistula. The tracheoesophageal tract is divided. The esophageal mucosa is closed with inverted sutures. After multiple layer closure of the esophageal fistula, the tracheal mucosa is closed with everted sutures.RESULTS:
This technique has been used in nine patients. Eight were successful. The remaining patient had radiation therapy failure.CONCLUSION:
This method of closure is simple and effective for those patients who require permanent closure of the tracheoesophageal fistula.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traqueostomia
/
Neoplasias Laríngeas
/
Fístula Traqueoesofágica
/
Laringectomia
/
Laringe Artificial
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
Head Neck
Ano de publicação:
2001
Tipo de documento:
Article