article · Clinical Case Reports
Delayed removal of an ingested button battery in children can lead to acquired tracheoesophageal fistula, a severe condition marked by nonspecific symptoms and high morbidity. Timely identification requires prompt evaluation using endoscopy and imaging techniques. When dealing with proximal tracheoesophageal fistulae, surgical management via a lateral cervical approach proves effective. This procedure involves primary repair coupled with the interposition of an omohyoid muscle flap between the affected structures. Employing the omohyoid muscle flap in this manner aids in preventing fistula recurrence and supports positive patient recovery outcomes, even in low-resource settings.
Button battery ingestion in children poses severe risks if removal is delayed, often causing life-threatening tissue damage between the trachea and oesophagus. Demonstrating effective surgical strategies, such as using an omohyoid muscle flap, offers clinicians practical guidance to successfully treat complex complications and prevent recurrence.
This clinical report outlines a applied surgical technique rather than a commercial product. The method is directly usable by paediatric and thoracic surgeons treating complex airway injuries. The abstract does not indicate a commercialisation or technology transfer pathway.
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Acquired tracheoesophageal fistula (TEF) following delayed removal of an ingested button battery in children often presents with nonspecific symptoms and carries high morbidity. Early diagnosis using imaging and endoscopy is essential. Proximal TEF can be successfully managed through a lateral cervical approach with primary repair and interposition of an omohyoid muscle flap, which helps prevent recurrence and promotes favorable outcomes.
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DOI: 10.1002/ccr3.71459
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