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KMID : 0390220060170020240
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2006 Volume.17 No. 2 p.240 ~ p.243
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A Case of Management of Tracheocutaneous Fistula
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Son Won-Sang
Kim Wee-Hwang
Baek Hong-In
Choi Dong-Jin
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Abstract
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The tracheocutaneous fistula (TCF) may develop as a complication after tracheostomy. It occurs secondary to
epithelial growth into the tracheostomy tract that prevents closure and healing. Surgical techniques for TCF
repair is primary suture, fistulectomy and primary suture, TCF excision and secondary union. But, we used a
simple technique that utilizes the fistula tract and sternohyoid muscle flap to facilitate closure of large TCF.
The advantage of this method is avoiding the complication generally associated with the closure of such defect
and also the morbidity of waiting for secondary closure to occur. So we report this case with a review of literature.
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KEYWORD
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Tracheocutaneous fistula, Sternohyoid muscle
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