Priestley Jamie D, Berkowitz Robert G
Department of Otolaryngology, Royal Children's Hospital, Flemington Road, Parkville 3052, Vic., Australia.
Int J Pediatr Otorhinolaryngol. 2006 Aug;70(8):1357-9. doi: 10.1016/j.ijporl.2006.01.014. Epub 2006 Feb 28.
Determine the outcome following tracheocutaneous fistula excision with tracheal closure in children, and in particular, evaluate the occurrence of air leak and the implications this has on recommended duration of post-operative hospitalisation.
Retrospective chart review in a tertiary pediatric hospital.
There were 16 patients (6 male:10 female), 15 of whom underwent tracheocutaneous fistula excision with primary wound closure. The mean age at decannulation was 54.2 months and the mean age at repair was 66.2 months. All patients had successful closure of their wound and there were no complications associated with tracheal air leak and subcutaneous emphysema. One patient required the initiation of nocturnal continuous positive airway pressure therapy following repair, and a further two patients had complications related to urinary tract infection and upper respiratory tract infection.
Our experience suggests that management of pediatric tracheocutaneous fistulae by excision and primary closure with a short period of post-operative observation can be undertaken safely.
确定儿童气管造口皮肤瘘切除并气管闭合后的结果，特别是评估漏气的发生情况及其对推荐的术后住院时间的影响。
在一家三级儿科医院进行回顾性病历审查。
共有16例患者（男6例，女10例），其中15例行气管造口皮肤瘘切除并一期伤口闭合。拔管时的平均年龄为54.2个月，修复时的平均年龄为66.2个月。所有患者伤口均成功闭合，未出现与气管漏气和皮下气肿相关的并发症。1例患者修复后需要开始夜间持续气道正压通气治疗，另外2例患者出现与尿路感染和上呼吸道感染相关的并发症。
我们的经验表明，通过切除和一期闭合并进行短期术后观察来处理儿童气管造口皮肤瘘是安全可行的。
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