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July 1972

Cervical Tracheal Transsection With Esophageal Fistula

Author Affiliations

Panorama City, Calif
From the departments of surgery (Dr. Braun) and otorhinolaryngology (Drs. Goldware and Flores), Kaiser Foundation Hospital and the Southern California Permanente Medical Group, Panorama City, Calif.

Arch Otolaryngol. 1972;96(1):67-71. doi:10.1001/archotol.1972.00770090105015

A 32-year-old man suffered complete transsection of the cervical trachea from blunt trauma to the anterior neck in an auto accident. This was repaired with survival of the patient, but he developed a tracheo-esophageal fistula at the same level, as well as bilateral vocal cord palsy and obstruction of the subglottic area by granulations. Subsequent attempts at repairing the fistula met with failure. Using a modification of a technique described in the literature for postcricoid carcinoma, the nonfunctional larynx was used to replace the destroyed segment of esophagus and a permanent tracheostoma was established. This is the first known successful application of this technique.

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