case_images: PMC11648615_01
case_images: A fistula formed between the skin and the transferred jejunal flap at the site of the tracheostoma.
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case_images: PMC11648615_01_gr1.jpg
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case_images: However, on postoperative day 16, we noted that a fistula had formed between the skin and the transferred jejunum around the tracheostoma (Figure 1).
case_images: Schema of Negative pressure wound therapy device using a drain was set to aspirate saliva, with the tip of the drain placed beside the fistula.
case_images: gr2.jpg
case_images: PMC11648615_01_gr2.jpg
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case_images: Therefore, treatment to continuously and effectively aspirate saliva was started using a RENASYS TOUCH device (Smith & Nephew, Watford, UK) (Figure 2).
case_images: (a) The wound was healed after 37 days of treatment. (b) Swallowing videofluorography confirmed no leak.
case_images: gr3.jpg
case_images: PMC11648615_01_gr3.jpg
case_images: fig0003
case_images: After 21 days, the fistula was closed, and after 37 days, the wound was healed (Figure 3a). Swallowing videofluorography confirmed that there was no leak (Figure 3b).