Three-layer Technique to Close a Persistent Tracheo-oesophageal Fistula

This report of a patient with a persistent tracheo-oesophageal (TE) fistula after removal of a speech valve describes a modification of the technique described by Rosen et al for closing TE. Under local anaesthesia, an incision was made above the stoma edge from 9 o'clock to 3 o'clock. The...

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Main Author: Leong-Meng Lee
Format: Article
Language:English
Published: Elsevier 2004-10-01
Series:Asian Journal of Surgery
Online Access:http://www.sciencedirect.com/science/article/pii/S1015958409600634
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spelling doaj-9579bf63ff154b4d90c1f79c4f9ffa712020-11-24T22:23:53ZengElsevierAsian Journal of Surgery1015-95842004-10-0127433633810.1016/S1015-9584(09)60063-4Three-layer Technique to Close a Persistent Tracheo-oesophageal FistulaLeong-Meng LeeThis report of a patient with a persistent tracheo-oesophageal (TE) fistula after removal of a speech valve describes a modification of the technique described by Rosen et al for closing TE. Under local anaesthesia, an incision was made above the stoma edge from 9 o'clock to 3 o'clock. The trachea was separated from the oesophagus to beyond the fistula, and the fistula tract was excised. The oesophageal opening was closed in layers and a local flap rotated from the adjacent sternocleidomastoid muscle and sutured over the oesophageal closure. The trachea was then closed separately.http://www.sciencedirect.com/science/article/pii/S1015958409600634
collection DOAJ
language English
format Article
sources DOAJ
author Leong-Meng Lee
spellingShingle Leong-Meng Lee
Three-layer Technique to Close a Persistent Tracheo-oesophageal Fistula
Asian Journal of Surgery
author_facet Leong-Meng Lee
author_sort Leong-Meng Lee
title Three-layer Technique to Close a Persistent Tracheo-oesophageal Fistula
title_short Three-layer Technique to Close a Persistent Tracheo-oesophageal Fistula
title_full Three-layer Technique to Close a Persistent Tracheo-oesophageal Fistula
title_fullStr Three-layer Technique to Close a Persistent Tracheo-oesophageal Fistula
title_full_unstemmed Three-layer Technique to Close a Persistent Tracheo-oesophageal Fistula
title_sort three-layer technique to close a persistent tracheo-oesophageal fistula
publisher Elsevier
series Asian Journal of Surgery
issn 1015-9584
publishDate 2004-10-01
description This report of a patient with a persistent tracheo-oesophageal (TE) fistula after removal of a speech valve describes a modification of the technique described by Rosen et al for closing TE. Under local anaesthesia, an incision was made above the stoma edge from 9 o'clock to 3 o'clock. The trachea was separated from the oesophagus to beyond the fistula, and the fistula tract was excised. The oesophageal opening was closed in layers and a local flap rotated from the adjacent sternocleidomastoid muscle and sutured over the oesophageal closure. The trachea was then closed separately.
url http://www.sciencedirect.com/science/article/pii/S1015958409600634
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