Closure of a cervical H-type tracheoesophageal fistula.
Congenital H-type tracheoesophageal fistulae in adults are infrequent. In surgery, the essential components (defining, cutting, and suturing the fistula, and preventive interposition of muscle flap) must be performed precisely. We undertook these procedures through a small collar incision. Based on results of preoperative images, the fistula was identified under minimum dissection between the trachea and esophagus. After cutting and suturing the fistula, a sternohyoid muscle flap was interposed.
Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan. suzuki.t@showa-university-fujigaoka.gr.jp
T
T
Suzuki
T
T
Narisawa
H
H
Tanaka
Y
Y
Hirai
Y
Y
Sanada
M
M
Chiba
D000293:Adolescent; D001999:Bronchoscopy; D004945:Esophagoscopy; D004946:Esophagostomy; D004947:Esophagus / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013524:Surgical Flaps; D013536:Suture Techniques; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000000981:diagnostic imaging / Q000601:surgery; D014138:Tracheoesophageal Fistula / Q000175:diagnosis* / Q000601:surgery*