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Management of Cervical Tracheo-Esophageal Fistula by Lateral Cervical Approach: Our Experience’

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Abstract

Acquired Tracheo-esophageal fistula (TEF) is a challenging and complicated condition. The laryngeal protection is lost in acquired TEF cases due to the established connection between the esophagus and the airways leading to aspiration, pneumonia, and acute respiratory distress syndrome. Malignancy contributes to about 80% of acquired TEF. Nonmalignant causes for TEF include prolonged ventilation, trauma (iatrogenic, penetrating, or blunt injury), foreign bodies, corrosive burns, and granulomatous infections. With the advancements in critical care, the incidence of TEF post-ventilation is on the rise in recent decades. We would like to share our experience managing ten cases of nonmalignant acquired cervical TEF by the lateral cervical approach at our institute. Apart from the isolated TEF cases, one patient with concomitant tracheal stenosis was repaired simultaneously with good postoperative results. TEF was identified in two cases following removal of T-tube and solid stent respectively and was repaired successfully with lateral cervical approach with strap muscle flap interposition.

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References

  1. Cooper G, Ritchie A, Gibbons J (1987) Use of a Mousseau-Barbin tube in the management of a tuberculous tracheoesophageal fistula. Thorac Cardiovasc Surg 35:382–384

    Article  CAS  Google Scholar 

  2. Hilgenberg AD, Grillo HC (1983) Acquired non-malignant tracheo-esophageal fistulas. J Thorac Cardiovasc Surg 85:492–498

    Article  CAS  Google Scholar 

  3. Reed MF, Mathisen DJ (2003) Tracheoesophageal fistula. Chest Surg Clin N Am 13:271–289

    Article  Google Scholar 

  4. Couraud L, Ballester NL, Delaisement C (1998) Acquired tracheoesophageal fistula and its management. Semin Thorac Cardiovasc Surg 8:392–399

    Google Scholar 

  5. Bartels HE, Stein HJ, Siewert JR (1998) Tracheobronchial lesions following oesophagectomy: prevalence, predisposing factors and outcome. Br J Surg 85:403–406

    Article  CAS  Google Scholar 

  6. Diddee R, Shaw IH (2006) Acquired tracheo-oesophageal fistula in adults. Contin Educ Anaesth Crit Care Pain 6:105–108

    Article  Google Scholar 

  7. Mellins R (1952) Acquired fistula between the Esophagus and the respiratory tract. New Engl J Med 246(23):896–901

    Article  CAS  Google Scholar 

  8. Anand VK, Alemar G, Warren ET (1992) Surgical considerations in tracheal stenosis. Laryngoscope 102:237–243

    Article  CAS  Google Scholar 

  9. Thomas AN (1972) Management of Tracheoesophageal fistula caused by cuffed tracheal tube. Am J Surg 124:181

    Article  CAS  Google Scholar 

  10. Bartlett RH (1976) A procedure for management of acquired Tracheoesophageal fistula in ventilator patients. J Thorac Cardiovasc Surg 71:89

    Article  CAS  Google Scholar 

  11. Utley JR, Dillon ML, Todd EP et al (1978) Giant Tracheoesophageal fistula. J Thorac Cardiovasc Surg 75:373

    Article  CAS  Google Scholar 

  12. Shen KR, Allen MS, Cassivi SD, Nichols FC 3rd, Wigle DA, Harmsen WS et al (2010) Surgical management of acquired nonmalignant tracheoesophageal and broncho esophageal fistulae. Ann Thorac Surg 90:914–918

    Article  Google Scholar 

  13. Grillo HC, Moncure AC, MCEnany MT (1976) Repair of inflammatory tracheoesophageal fistula. Ann ThoracSurg 22:112–9

    Article  CAS  Google Scholar 

  14. Urschel HC Jr, Razzuk MA, Wood RE et al (1974) Improved management of esophageal perforation: exclusion and diversion in continuity. Ann Surg 179:587–591

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of ENT, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation (PSIMS and RF), Chinnautapalli, Gannavaram, Andhrapradesh, India

    T. Satish Chandra, O. Sadhana, G. Sameera, P. S. N. Murthy & A. Dimple

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  1. T. Satish Chandra
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  2. O. Sadhana
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  3. G. Sameera
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  4. P. S. N. Murthy
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  5. A. Dimple
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Correspondence to O. Sadhana.

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Chandra, T.S., Sadhana, O., Sameera, G. et al. Management of Cervical Tracheo-Esophageal Fistula by Lateral Cervical Approach: Our Experience’. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 6039–6044 (2022). https://doi.org/10.1007/s12070-021-02682-x

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  • DOI: https://doi.org/10.1007/s12070-021-02682-x

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