• J Laryngol Otol · Oct 2010

    Review Case Reports

    Tracheoesophageal fistula secondary to chemical trauma: is there a place for planned conservative management?

    • D Biswas, S Majumdar, J Ray, and P Bull.
    • Department of Otolaryngology, Sheffield Children's Hospital, University of Sheffield, Sheffield, South Yorkshire, UK. drdbiswas@hotmail.com
    • J Laryngol Otol. 2010 Oct 1; 124 (10): 1136-8.

    ObjectiveWe present a unique case in which closure of a large tracheoesophageal fistula was achieved with planned conservative management.MethodThe literature was reviewed for other documented cases of spontaneous closure of traumatic tracheoesophageal fistula.ResultsAcquired tracheoesophageal fistula may result secondary to a chemical burn from an alkaline disc battery impacted in the oesophagus, particularly when the presentation, and thus diagnosis, are delayed. This condition is rare. The majority of such cases occur in children, and are conventionally managed with surgical repair. We found only three previously reported cases in which conservative management was attempted.ConclusionNon-interventional management should be tried initially for the management of paediatric acquired tracheoesophageal fistula, to permit closure by secondary intention.

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