TY - JOUR
T1 - Trichloroacetic Acid Chemocauterization
T2 - A Simple Method to Close Small Tracheocutaneous Fistula
AU - Kim, Min Su
AU - Lim, Jae Hyun
AU - Jin, Young Ju
AU - Jang, Jeong Hun
AU - Hah, J. Hun
N1 - Publisher Copyright:
© The Author(s) 2016.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Objectives: To evaluate the effectiveness of chemocauterization using trichloroacetic acid with or without suturing for the small tracheocutaneous fistula closure Methods: The Seoul National University Hospital database was analyzed retrospectively for 55 patients with a small tracheocutaneous fistula measuring less than 5 × 5 mm2. Of these, 39 patients were treated by chemocauterization only, and 16 patients were treated by chemocauterization with suturing. Demographic, perioperative data, and treatment outcomes were evaluated for all patients. Results: The success rate of single trial was 56.4% (31/55), and the final success rate after repeated procedures if indicated was 80.0% (44/55). There were no statistically significant differences in age, sex, cannulation period, fistula size, presence or absence of maturation suture during tracheostomy, number of procedures, and success rates. Interval between decannulation and procedure was significantly different among 2 groups. Conclusions: Trichloroacetic acid chemocauterization could be a simple, noninvasive, and safe method to close small tracheocutaneous fistula.
AB - Objectives: To evaluate the effectiveness of chemocauterization using trichloroacetic acid with or without suturing for the small tracheocutaneous fistula closure Methods: The Seoul National University Hospital database was analyzed retrospectively for 55 patients with a small tracheocutaneous fistula measuring less than 5 × 5 mm2. Of these, 39 patients were treated by chemocauterization only, and 16 patients were treated by chemocauterization with suturing. Demographic, perioperative data, and treatment outcomes were evaluated for all patients. Results: The success rate of single trial was 56.4% (31/55), and the final success rate after repeated procedures if indicated was 80.0% (44/55). There were no statistically significant differences in age, sex, cannulation period, fistula size, presence or absence of maturation suture during tracheostomy, number of procedures, and success rates. Interval between decannulation and procedure was significantly different among 2 groups. Conclusions: Trichloroacetic acid chemocauterization could be a simple, noninvasive, and safe method to close small tracheocutaneous fistula.
KW - cautery
KW - closure
KW - tracheocutaneous fistula
KW - tracheostomy
KW - trichloroacetic acid
UR - http://www.scopus.com/inward/record.url?scp=84978646664&partnerID=8YFLogxK
U2 - 10.1177/0003489416642788
DO - 10.1177/0003489416642788
M3 - Article
C2 - 27067152
AN - SCOPUS:84978646664
SN - 0003-4894
VL - 125
SP - 644
EP - 647
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
IS - 8
ER -