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Leonard P. Berenholz, MD; Sidney Vail, MD; Anthony Berlet, MD

Arch Otolaryngol Head Neck Surg. 1992;118(8):869-871.

Abstract
• Management of large tracheocutaneous fistulas is not well described in the otolaryngology literature. Some authors have focused on the excision of the fistula tract with or without the use of a strap muscle or sternocleidomastoid flap. Others have proposed staged closures over a period of months to allow secondary healing to occur in order to avoid complications of dehiscence, pneumomediastinum, and infection. We describe a simple technique that utilizes the fistula tract to facilitate closure of a large tracheocutaneous fistula. By using this technique, the surgeon avoids the complications generally associated with the closure of such defects and also the morbidity of waiting for secondary closure to occur.

(Arch Otolaryngol Head Neck Surg. 1992;118:869-871)

Author Affiliations
From the Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, Albert Einstein Medical Center, Philadelphia, Pa.

Footnotes
Accepted for publication April 7, 1992.

Presented in part at the Eastern Section Meeting of the American Laryngological, Rhinological, and Otological Society Inc, Philadelphia, Pa, February 2, 1991.

Reprint requests to 9880 Bustleton Ave, Suite 305, Philadelphia, PA 19115 (Dr Berenholz).

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ABSTRACT