Tracheoesophageal Fistula Following Blunt Trauma

Antkowiak, Joseph G.

doi:10.1001/archsurg.1974.01360040047012

Cited by 22 publications

(5 citation statements)

References 9 publications

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“…In this case, TEF was presented between the posterior elastic membrane wall of the trachea and the serous esophagus and the third ring of the trachea below the tracheostomy site, 11,12 without the occurrence of fistula stenosis in the trachea with subglottic stenosis 13,14 . Exploration revealed that by resecting left side of the trachea and attaching it without the need for the resection of membranous layer, the muscle tissue was separated from the esophagus and mucosal and muscle layer was sutured 15,16 .…”

Section: Discussionmentioning

confidence: 93%

Unilateral repair of tracheoesophageal fistula with dilatation of incomplete subglottic stenosis

Marzban-Rad

Sattari²,

Taheri

2021

Clinical Case Reports

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Section: Discussionmentioning

confidence: 93%

Unilateral repair of tracheoesophageal fistula with dilatation of incomplete subglottic stenosis

Marzban-Rad

Sattari²,

Taheri

2021

Clinical Case Reports

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“…After third operation the conservative management was disappointing, also some physicians believe that for same situation “conservative treatment should not be prolonged beyond 14 days and that endoscopic treatment should be performed at that stage with 2 - 4 ml of reconstituted fibrin glue” (8). There were cases of esophageal traumatic fistula but all of them connected the esophagus to the nearby trachea and none of them used PRFG as treatment (9-12). There is commercial fibrin glue without platelets (because of platelets elimination during fibrinogen preparation) which is used in clinic.…”

Section: Discussionmentioning

confidence: 99%

Lateral Traumatic Esophago-Cutaneous fistula in a Child; Platelet-Rich Fibrin Glue Challenge

Joudi¹,

Alamdari²,

Hyradfar³

et al. 2013

Iran Red Crescent Med J

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IntroductionThe endoscopic fibrin glue or platelet-rich fibrin glue (PRFG) injection is an easy, safe and effective technique for the fistula. So far, the use of fibrin glue has been limited to selected cases.Case reportOur case is a three years old male child with a neck trauma resulting in a Esophago-Cutaneous fistula after a 3 month period of follow up we decided to use PRFG for this lesion after fine debridement of the fistula tract, and the surrounding fibrosed tissue twice with a one week interval. Our visit after two weeks showed complete recovery and normal general condition. A contrast study revealed complete disappearance of the lesion.ConclusionsIn our case the PRFG completely resolved a long-standing fistula resistant to exhaustive conservative management. The treatment with PRFG has been proved to be effective in the selected cases and it seems that traumatic esophago-cutaneous fistula may be one of these selections. Application of fibrin sealant should be considered early in the management of these difficult clinical problems.

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“…Diagnosis can be suspected historically by the classic swallow–cough complex, or Ono’s sign 4,8 . This is usually seen 3–5 days after injury 9 . Swallowing of fluid or food is followed by a coughing attack as the food leaks into and irritates the trachea.…”

Section: Discussionmentioning

confidence: 99%

“…Other historical features include neck, chest or abdominal pain, a history of haemoptysis or haematemesis, dyspnoea, dysphagia, hoarseness of voice, odynophagia and abdominal distension. Examination findings consistent with a TOF are subcutaneous emphysema of the chest and/or neck and signs of a pneumothorax or pneumomediastinum 9 . Chest X‐rays may reveal pneumothorax, pneumomediastinum, rib fractures, sternal fractures and subcutaneous emphysema 7 .…”

Section: Discussionmentioning

confidence: 99%