case_images: PMC3653163_01
case_images: Persistent pharyngocutaneous fistula following 8 months of conservative therapy.
case_images: eplasty13e23_fig1.jpg
case_images: PMC3653163_01_eplasty13e23_fig1.jpg
case_images: F1
case_images: The postoperative course was complicated by a pharyngocutaneous fistula at the superior margin of the permanent tracheostoma (Fig 1).
case_images: Intraoperative fat grafting to fistula margin.
case_images: eplasty13e23_fig2.jpg
case_images: PMC3653163_01_eplasty13e23_fig2.jpg
case_images: F2
case_images: Approximately 8 mL of purified fat were injected into the area immediately surrounding the pharyngocutaneous fistula using both blunt cannulas and 18 gauge needles (Fig 2).
case_images: Size reduction of pharyngocutaneous fistula 3 months following first fat grafting.
case_images: eplasty13e23_fig3.jpg
case_images: PMC3653163_01_eplasty13e23_fig3.jpg
case_images: F3
case_images: After 3 months of conservative measures (ongoing gastrostomy tube feeds and local wound care), the fistula size reduced by approximately 70% (Fig 3).
case_images: Complete fistula closure 4 months after first fat grafting (includes a second procedure of fat grafting).
case_images: eplasty13e23_fig4.jpg
case_images: PMC3653163_01_eplasty13e23_fig4.jpg
case_images: F4
case_images: It has remained closed 1 year later with the patient tolerating a regular diet (Fig 4).