Rao Shailaja V, Boralkar Ajay K, Jirvankar Prabhakar S, Sonavani Mangala V, Kaginalkar Varsha Rotte, Chinte Chimu
Associate Professor, Department of Medicine.
Associate Professor, Department of Surgery.
J Assoc Physicians India. 2016 Dec;64(12):84-85.
Tracheoesophageal fistula (TEF) is an abnormal communication between the trachea and esophagus. Iatrogenic TEF can be due to endotracheal intubation, rigid bronchoscopy or tracheostomy. Tracheostomy tube cuff volumes and pressures require constant monitoring to avoid tracheal injury. Acquired TEF which occurs after prolonged intubation, usually develops after 15-200 days of mechanical ventilation. We report a case of a large TEF secondary to endotracheal intubation for organophosphorus poison-induced respiratory failure. Patient presented with dysphagia and recurrent aspiration pneumonia after extubation. She underwent trachea-esophageal fistulectomy and closure with a sternocleidomastoid muscle flap.
气管食管瘘（TEF）是气管与食管之间的异常通道。医源性TEF可能由气管插管、硬质支气管镜检查或气管切开术引起。气管切开套管的气囊容量和压力需要持续监测，以避免气管损伤。长时间插管后发生的获得性TEF通常在机械通气15 - 200天后出现。我们报告一例因有机磷中毒致呼吸衰竭行气管插管继发大型TEF的病例。患者拔管后出现吞咽困难和反复吸入性肺炎。她接受了气管食管瘘切除术，并用胸锁乳突肌瓣进行修复。
