Korean J Thorac Cardiovasc Surg.  1997 Apr;30(4):453-456.

Tracheoesophageal Fistula with Subglottic Stenosis in Tracheostomy Patient: Report of 1 Case

• Son HS
• Kim YS
• Kim KT

Abstract

Acquired tracheoesophageal fistula is a rare but serious condition which is usually a result of prolonged intubation or tracheostomy statc, and is difficult to treat. A fifty-seven year old woman who was in a state of prolonged intubation and tracheostomy following a trafic accident, presented with recurrent aspirati n. A tracheoesophageal fistula was demonstrated 3 cm above the carina by csophagogram. We confirmed a subglottic web and tracheoesophageal fistula by bronchoscopic examination. Fistulectomy was performed with collor incision and partial sternotomy. The esophagus was repaired by two-layer interrupted suture using 4-0 Vicryl, and the trachea was repaired by single layer suture using a 4-0 PDS. The sternohyoid muscle was interposed between the trachea and the esophagus. A T-tube was inserted through the previous tracheostomy site for easy tracheal suction and maintenance of the tun:on. The T-tube was removed on the 14th postoperative day, and the patient recovered well without any complications.

Keyword

Tracheoesophageal fistula; Subglottic stenosis

MeSH Terms

Constriction, Pathologic*
Esophagus
Female
Humans
Intubation
Polyglactin 910
Sternotomy
Suction
Sutures
Trachea
Tracheoesophageal Fistula*
Tracheostomy*
Polyglactin 910