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Tracheocutaneous fistula closure by two hinged turnover flap and a fasciocutaneous pivot flap

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Case Report

Author Details : Manish Gupta*, Anshul Singh

Volume : 3, Issue : 4, Year : 2020

Article Page : 142-144

https://doi.org/10.18231/j.ijoas.2020.031

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Abstract

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.

How to cite : Gupta M , Singh A , Tracheocutaneous fistula closure by two hinged turnover flap and a fasciocutaneous pivot flap. J Otorhinolaryngol Allied Sci 2020;3(4):142-144

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