Coblation-assisted closure of persistent tracheocutaneous fistulae

Publication date: June 2016
Source:International Journal of Pediatric Otorhinolaryngology, Volume 85
Author(s): David L. Walner, Chris Mularczyk, Kedar Kakodkar
Persistent tracheocutaneous fistulae (PTCFs) are sequelae of long-term tracheostomy tube use, and while many procedures exist to correct this issue, several are invasive and incur risk to the patient. This case study discusses a minimally invasive approach to closure of small PFTFs with a coblator device that may reduce the risks associated with other closure procedures. We demonstrated successful tracheocutaneous fistulae closure after coblation in all 4 patients that the operation was performed. We believe this technique can be considered for patients under select circumstances and can be part of a surgeon's armamentarium for the treatment of small PTCFs.



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