Authors : Manish Gupta, Manish Gupta, Anshul Singh, Anshul Singh
DOI : 10.18231/j.ijoas.2020.031
Volume : 3
Issue : 4
Year : 2020
Page No : 142-144
Introduction: Tracheocutaneous fistula is a known complication in patient who are tracheostomised for long duration.
Case Presentation: A 18-year-old girl presented in our department who was tracheostomised 2 years back, to secure airway, following a road traffic accident and tracheal injury. She underwent multiple surgeries to maintain upper airway, which were successful, but developed a tracheocutaneous fistula due to prolonged tracheostomy. Surgical closure of the fistula was done using a two hinged turnover flap and a fasciocutaneous pivot flap. The patient was discharged on 6th day of the surgery with no complication and no recurrence.
Conclusion: Our technique explains one of the many procedures used to close a tracheocutaneous fistula, mentioned in literature. It is minimally invasive and is associated with minimal chance of tracheal stenosis and recurrence.
Keywords: Tracheocutaneous fistula, Tracheostomy, Surgery, Hinge flap.