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Monday 10 February 2014

WUTH publication: Closure of minor tracheoesophageal fistulae with calcium hydroxlapatite

Citation: Auris, Nasus, Larynx. 2013, 40(5), 491-2
Author: Kasbekar AV, Sherman IW
Abstract: OBJECTIVE: To demonstrate a novel technique for the closure of a pinhole tracheoesophageal fistula using Radiesse (calcium hydroxylapatite).
METHODS: Two patients underwent closure of a persistent tracheoesophageal fistula with four quadrant injections of Radiesse around the fistulous tract.
RESULTS: Both patients had their fistulas successful closed. The first patient died after 3 months due to lung metastasis. The second patient required a further attempt at closure with Radiesse injection and has been without a leak for 18 months at his last follow up appointment.
CONCLUSION: We feel this is an acceptable minimally invasive method to close a persistent pinhole tracheoesophageal fistula after failed management with chemical cautery.


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