Gastro-tracheal Fistula: A Rare Late Complication Following Laryngo-Pharyngo-Esophagectomy
Published: 2020-05-02
Page: 130-133
Issue: 2020 - Volume 3 [Issue 1]
G. Lakshmi Narayana *
Department of Head and Neck Surgery and Oncology, Cancer Research and Relief Trust, Chennai, India.
V. Shruti
Department of Head and Neck Surgery and Oncology, Cancer Research and Relief Trust, Chennai, India.
M. Vikash
Department of Thoracic and GI Oncology, Cancer Research and Relief Trust, Chennai, India.
C. S. Mani
Department of Head and Neck Surgery and Oncology, Cancer Research and Relief Trust, Chennai, India.
*Author to whom correspondence should be addressed.
Abstract
Idiopathic fistula between the Gastric tube and the trachea after Laryngo-pharyngo-esophagectomy (LPO) for Carcinoma post cricoid has not been reported in the literature so far. This is the first time we report one such case and its successful repair using Pectoralis Major Muscle Flap (PMMF) and Delto-Pectoral Flap (DPF). The surgical procedure is explained in detail and the various management strategies were discussed.
Keywords: Tracheogastric fistula, carcinoma hypopharynx, dual flap, PMMC flap, DP flap.