Tracheocutaneous Fistula Closure in the Pediatric Population: Should Secondary Closure Be the Standard of Care?

Abstract

In our study, we did not see any statistical differences between the 2 methods studied but could not exclude clinically important differences that may have favored one method over the other. Although our comparative results were inconclusive, we have adopted secondary closure as standard practice for management of pediatric TCF. Individual surgeons and patients may use the data presented to help guide decisions concerning which procedure is most appropriate.

Extensive Surgical Emphysema in a Child after Primary Closure of Tracheocutaneous Fistula

“…Between two methods of closure, there is no statistical difference in terms of complication or its outcome [2]. Decision about the appropriate method is made on the individual patient and surgeon [3]. In our case, after first attempt of closure, subcutaneous emphysema developed, which may be because of tight stitching of skin.…”

Tracheocutaneous Fistula After Tracheostomy: Spotlight on a Closure Technique With a High Success Rate

“…The incidence of a fistula increases with the length of cannula use, and its occurrence has been growing due to the increasing use of tracheotomies for chronic conditions such as protracted respiratory failure and congenital deformity, instead of for acute respiratory tract infections [ 2 ]. The persistence of TCF can lead to several concerns for both the patient and their family, including hygiene, aspiration, and aesthetic issues [ 3 , 4 ]. Therefore, it is crucial to close or modify the TCF to avoid these complications.…”