Lee Leong-Meng, Razi Abdullah
ENT Unit, Department of Surgery, Universiti Putra Malaysia, Malaysia.
Asian J Surg. 2004 Oct;27(4):336-8. doi: 10.1016/S1015-9584(09)60063-4.
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.
本文报告了1例在移除言语瓣膜后出现持续性气管食管（TE）瘘的患者，描述了对Rosen等人所描述的关闭TE瘘技术的改良。在局部麻醉下，于造口边缘上方从9点至3点做一切口。将气管与食管分离至瘘口以外，并切除瘘管。食管开口分层缝合，从相邻的胸锁乳突肌旋转一块局部皮瓣并缝合于食管闭合处上方。然后分别关闭气管。
