Skip to main content

Recurrent tracheoesophageal puncture fistula closure using a previous flap as donor: a case report

Abstract

Tracheoesophageal puncture (TEP)-site fistula dysfunction is a serious complication of TEP prosthesis. We successfully addressed a recurrent TEP-site fistula dysfunction by utilizing the previously done deltopectoral flap. This avoided a fresh donor site. Utilization of sound plastic surgery principles helps in tackling these problems effectively.

References

  1. Singer MI, Blom ED. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 1980; 89: 529–533.

    Article  CAS  Google Scholar 

  2. Dayangku Norsuhazenah PS, Baki MM, Mohamad Yunus MR, Sabir Husin Athar PP, Abdullah S. Complications following tracheoesophageal puncture: a tertiary hospital experience. Ann Acad Med Singapore 2010;39:565–4.

    PubMed  Google Scholar 

  3. Annyas AA, Escajadillo JR. Closure of tracheoesophageal fistula after removal of the voice prosthesis. Laryngoscope 1984; 94: 1244–1245.

    Article  CAS  Google Scholar 

  4. Hosal SA, Myers EN. How I do it: closure of tracheoesophageal puncture site. Head Neck 2001; 23: 214–216.

    Article  CAS  Google Scholar 

  5. Unal M. Three-layer closure of a tracheoesophageal puncture site:a technical note. Adv Ther 2006; 23: 733–738.

    Article  Google Scholar 

  6. Rosen A, Scher N, Panje WR. Surgical closure of persisting failed tracheoesophageal voice fistula. Ann Otol Rhinol Laryngol 1997; 106: 775–778.

    Article  CAS  Google Scholar 

  7. Judd O, Bridger M. Failed voice restoration: closure of the tracheo-oesophageal fistula. Clin Otolaryngol 2008; 33: 261–264.

    Article  CAS  Google Scholar 

  8. Balasubramanian D, Iyer S, Thankappan K, Irish J. Tracheoesophageal puncture site closure with single perforator-based deltopectoral flap. Head Neck 2013; 35: E60–E63.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rahul Dalal MBBS, MS, MCh (Plast).

Additional information

conflicts of interest

There are no conflicts of interest.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jaiswal, D., Yadav, P., Shankhdhar, V. et al. Recurrent tracheoesophageal puncture fistula closure using a previous flap as donor: a case report. Egypt J Otolaryngol 32, 229–231 (2016). https://doi.org/10.4103/1012-5574.186529

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/1012-5574.186529

Keywords