title: Slide tracheoplasty for the treatment of tracheoesophogeal fistulas.
abstract: OBJECTIVE
  The purpose of this study is to determine the surgical outcome of slide tracheoplasty for the treatment of tracheoesophageal (TE) fistula in pediatric patients.
  
  
  METHODS
  After internal review board approval, the charts of pediatric patients (0-18years old) who had undergone slide tracheoplasty for tracheoesophageal fistula were retrospectively reviewed. Patient information and surgical outcomes were reviewed.
  
  
  RESULTS
  Nine patients underwent slide tracheoplasty for correction of TE fistula. In five patients the original TE fistula was congenital. Other causes included battery ingestion, tracheostomy tube complications, foreign body erosion, and an iatrogenic injury. The average age at repair was 48±64 months (range: 1-190). Seven patients had undergone previous TEF repair either open or endoscopically. There were no recurrences after repair. Two patients had sternal periosteum interposed between the esophagus and trachea. There were no TEF recurrences. A single patient had dehiscence of the tracheal anastomosis and underwent a second procedure.
  
  
  CONCLUSIONS
  Slide tracheoplasty is an effective method to treat complex TE fistulas. The procedure was not associated with any recurrences. This is the first description of a novel, effective, and safe method to treat TE fistulas.
authors.affiliation: Division of Pediatric Otolaryngology - Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3026.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Provenzano
authors.affiliation: Division of Pediatric Otolaryngology - Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3026. Electronic address: mike.rutter@cchmc.org.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Rutter
authors.affiliation: Division of General and Thoracic Surgery, Division of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3026.
authors.forename: Daniel
authors.initials: D
authors.lastname: von Allmen
authors.affiliation: The Heart Center: Cardiology Cardiothoracic Surgery, St. Louis Children's Hospital, One Children's Place, Suite 5S50, Saint Louis, MO 63110.
authors.forename: Peter B
authors.initials: PB
authors.lastname: Manning
authors.affiliation: Pediatric and Adolescent Medicine, Mayo Clinic, 201W Center St, Rochester, MN 55902.
authors.forename: R
authors.initials: R
authors.lastname: Paul Boesch
authors.affiliation: Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3026.
authors.forename: Philip E
authors.initials: PE
authors.lastname: Putnam
authors.affiliation: Division of Pediatric Otolaryngology - Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3026.
authors.forename: Angela P
authors.initials: AP
authors.lastname: Black
authors.affiliation: Division of Pediatric Otolaryngology - Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3026.
authors.forename: Alessandro
authors.initials: A
authors.lastname: de Alarcon
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D002675:Child, Preschool; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D014132:Trachea / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000601:surgery*; D014139:Tracheostomy; D016896:Treatment Outcome
keywords: Cardiopulmonary bypass; Esophageal atresia; Larynx; Periosteum; Pneumonia; Recurrent; Tracheomalacia