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KMID : 0364019960290091045
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 9 p.1045 ~ p.1049
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Direct Closure of Post-Intubation Trachesophageal Fistulas -Report of 3 cases-
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Abstract
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Post-intubation tracheoesophageal fistula is rare, and its management causes a serious problems to surgeons. We have experienced 4 cases in 3 patients. Simple division and closure of the fistulas were done by trans-cervical approach after weaning
of
ventilator. The tracheal defect was closed by simple suture, and the esophageal defect was closed in two layers before a viable muscle flap was interposed between the two suture lines in order to prevent recurrence. There was one delayed tracheal
stenosis and one recurrent fistula, and these complications were also managed successfully.
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KEYWORD
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