case_images: PMC10936491_01
case_images: CT scan of patient's iatrogenic tracheoesophageal fistula on arrival. *Marks tracheostomy that enters the esophagus. **Marks the endotracheal tube that traverses the esophagus and enters the trachea.
case_images: tsaco-2023-001296f01.jpg
case_images: PMC10936491_01_tsaco-2023-001296f01.jpg
case_images: F1
case_images: The patient underwent tracheostomy complicated by an iatrogenic tracheoesophageal (TE) fistula (figure 1).
case_images: PMC10936491_02
case_images: PMC10936491_03
case_images: Operative repair of the tracheoesophageal fistula through curvilinear incision along anterior border of the right sternocleidomastoid. *Marks esophageal defect which is encircled with a penrose drain. **Marks trachea with oral endotracheal tube distal to the tracheal defect.
case_images: tsaco-2023-001296f02.jpg
case_images: PMC10936491_03_tsaco-2023-001296f02.jpg
case_images: F2
case_images: The esophagus was encircled with a penrose drain, and a 5 cm defect in the anterior esophagus identified that communicated with the posterior trachea below the angle of Louis, with the endotracheal tube (ETT) visible through the tracheal defect (figure 2).
case_images: Schematic of tracheoesophageal fistula (TEF) repair. (A) Dissecting the sternocleidomastoid (SCM) off of its cranial attachments. (B) Rotating the SCM into the mediastinum. (C) Buttressing the TEF repair with the SCM flap. (B) Oral endotracheal tube through old tracheostomy tract, with balloon distal to the TEF repair.
case_images: tsaco-2023-001296f03.jpg
case_images: PMC10936491_03_tsaco-2023-001296f03.jpg
case_images: F3
case_images: The distal nature of the injury did not facilitate tracheostomy placement at this time, therefore the armored ETT was left in place (figure 3).
case_images: PMC10936491_04
case_images: PMC10936491_05
case_images: PMC10936491_06
case_images: PMC10936491_07