This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Surgical Repair

WILLIAM W. MONTGOMERY, MD

Arch Otolaryngol. 1965;82(5):543-545.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

OCCASIONALLY a troublesome fistula develops between the trachea and esophagus following total laryngectomy or reconstruction of the cervical esophagus.¹ This occurs at the level of the tracheostoma or in the posterior wall of the upper trachea. A cuffed tracheal tube will control the salivary leak into the trachea prior to repair of the tracheo-esophageal fistula. The operation to be described has been used for the successful closure of three tracheo-esophageal fistulae, one following laryngectomy and two following reconstruction of the cervical esophagus. Two separate pedicled flaps are used in the procedure, one to supply esophageal lining and the other tracheal lining. The flaps are fashioned and positioned so as to lie back-to-back in the tracheo-esophageal fistula.

The operation is best performed using general anesthesia with intermittent use of an endotracheal tube, for it is quite difficult to block the very sensitive cough reflex of the trachea with local anesthesia. . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

From the Massachusetts Eye and Ear Infirmary, associate surgeon in otolaryngology, and assistant professor in otolaryngology, Harvard Medical School.

Footnotes
Submitted for publication June 22, 1965.

Reprint requests to 243 Charles St, Boston, Mass 02114.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?