Evidence map›Paper›PMID 42249896›Full record

ReviewEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

A multilayer full-thickness skin graft technique for closure of recurrent tracheoesophageal puncture fistula: case report and literature review.

Ahmed Abdulrahman AlRahim, Mohammed Abdulrahman AlHashim, Abdullah Omar Aljaafari, Shaykhah Nasser AlNaimi, Turki M Al-Turaiki, Anas Talal Alhindi, Rawan Abdulrahman Alanazi

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Review in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ahmed Abdulrahman AlRahimOtorhinolaryngology Head and Neck Surgery Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Mohammed Abdulrahman AlHashimOtorhinolaryngology Head and Neck Surgery Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Abdullah Omar AljaafariOtorhinolaryngology Head and Neck Surgery Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Shaykhah Nasser AlNaimiOtorhinolaryngology Head and Neck Surgery Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. Shaykhahalnaimi@gmail.com.ORCID http://orcid.org/0009-0002-5954-2448
Turki M Al-TuraikiPlastic Surgery Division, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Anas Talal AlhindiAnesthesia Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Rawan Abdulrahman AlanaziFamily Medicine Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTracheoesophageal puncture (TEP) is a widely used method of voice rehabilitation following total laryngectomy; however, it is associated with complications, including persistent leakage and tracheoesophageal fistula (TEF). Management of recurrent TEF can be challenging, especially in patients with prior radiotherapy and impaired wound healing. CASE PRESENTATION: This paper reports a case of a 44-year-old male with advanced glottic squamous cell carcinoma who underwent total laryngectomy with flap reconstruction and adjuvant radiotherapy, followed by TEP for voice rehabilitation. The patient developed a persistent tracheoesophageal fistula refractory to conservative management, prosthesis removal, endoscopic closure, and open surgical repair with muscle flap interposition. Definitive revision surgery was performed using a composite right inguinal graft, consisting of a dermal-fascial layer to create a double-layer seal between the trachea and esophagus and an external full-thickness skin graft to reinforce the stoma. Postoperative imaging confirmed fistula closure, and the patient ultimately resumed full oral intake without aspiration.

conclusionThis case demonstrates that a multilayered repair using a full-thickness skin graft combined with a dermal-fascial interposition can achieve successful closure of a recurrent tracheoesophageal fistula. This approach may represent an effective and less invasive alternative prior to consideration of free flap reconstruction in selected patients.

Indexed as

Carcinoma, Squamous CellLaryngeal NeoplasmsLaryngectomyPostoperative ComplicationsSkin TransplantationTracheoesophageal FistulaAdultHumansMalePlastic Surgery ProceduresPuncturesRecurrenceReoperationSurgical FlapsFull-thickness skin graft, case reportMultilayer closureTotal laryngectomyTracheoesophageal fistulaTracheoesophageal punctureVoice prosthesis

Identifiers

PMID42249896

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.