一种小儿气管皮肤瘘闭合的简易方法。

A simple method for closure of tracheocutaneous fistula in children.

作者信息

Licameli G R, Marsh B R, Tunkel D E

机构信息

Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Md, USA.

出版信息

Arch Otolaryngol Head Neck Surg. 1997 Oct;123(10):1066-8. doi: 10.1001/archotol.1997.01900100040005.

DOI:10.1001/archotol.1997.01900100040005

PMID:9339982

Abstract

OBJECTIVE

To review the results of a simple technique of closure of persistent tracheocutaneous fistula (TCF) in children.

DESIGN

Retrospective case series.

SETTING

Tertiary pediatric otolaryngology referral center.

PATIENTS

Children (age, < 18 years) who underwent repair of TCF from July 1, 1991, to August 31, 1996.

INTERVENTIONS

Surgical closure of persistent TCF using multilayered closure of de-epithelialized local tissue. Tracheal dissection was not performed. A thermal hemostatic scalpel was used in some cases to assist in de-epithelialization and provide hemostasis without electrocautery near the airway.

MAIN OUTCOME MEASURES

Success of closure and number and types of complications.

RESULTS

Nine procedures were performed in 8 children. Seven (88%) of 8 primary procedures were successful, but early recurrent TCF developed in 1 patient. Revision surgery using an identical surgical technique, but maintaining endotracheal intubation for 48 hours, was successful in this patient. No complications occurred.