Keenan J P, Snyder G G, Lehmann W B, Ruiz J W
Arch Otolaryngol. 1978 Sep;104(9):530-1. doi: 10.1001/archotol.1978.00790090048010.
In our experience, recommended treatment of the closure of tracheocutaneous fistula has been disappointing. Complications associated with primary closure, which we have experienced, include pneumomediastinum, pneumothorax, and wound breakdown. The alternate method of treating tracheocutaneous fistula, which we recommend, consists of excision of the tract down to the level of the trachea and allowing healing to take place via secondary intention. Elective scar revision, if indicated, is scheduled at some time in the future.
根据我们的经验，气管皮肤瘘闭合的推荐治疗效果一直不尽人意。我们所经历的与一期闭合相关的并发症包括纵隔气肿、气胸和伤口裂开。我们推荐的气管皮肤瘘替代治疗方法包括将瘘管切除至气管水平，让伤口通过二期愈合。如有必要，择期进行瘢痕修复，时间安排在未来的某个时候。
