Tracheocutaneous fistula as a complication of laryngotracheal separation surgery.
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Data
2012
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Resumo
To evaluate the relationship between the
occurrence of tracheocutaneous fistula of the proximal
tracheal stump regarding the indication (therapeutic or
prophylactic) of laryngotracheal separation surgery (LTS)
and regarding the presence of a current or previous tracheostomy
when LTS was performed. Retrospective analysis
of 66 patients submitted to LTS. The tracheocutaneous
fistula occurred in 14 (21.2%) patients. Twelve (33.3%) of
36 patients whose indication was therapeutic and in two
(6.7%) of 30 patients whose indication was prophylactic
(p = 0.019). It occurred in 8 (57.1%) of 14 patients who
had undergone tracheostomy prior to completion of LTS,
while occurred in 6 (11.5%) patients who had not previously
undergone tracheostomy (n = 52) (p = 0.0009). The
incidence of tracheocutaneous fistula as a postoperative
complication of laryngotracheal separation is high and
occurs mainly in patients whose indication is therapeutic
and for those with a current or previous tracheostomy.
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Palavras-chave
Tracheocutaneous fistula, Complication, Laryngotracheal separation surgery
Citação
ZOCRATTO, O. B. et al. Tracheocutaneous fistula as a complication of laryngotracheal separation surgery. European Archives of Oto-Rhino-Laryngology, v. 269, p. 1973-1977, 2012. Disponível em: <http://link.springer.com/article/10.1007%2Fs00405-011-1858-6>. Acesso em: 29 jan. 2017.