The commonest elective procedure performed on a critically ill patient is tracheostomy. The major complications may be divided based on the duration of the procedure: early, medium-early, and late postoperative. The commonest late complication of tracheostomy is a tracheoesophageal fistula (TEF). Tracheostomy tube may cause injury to the posterior wall of the trachea and also due to endotracheal tube (ET) cuff overinflation. Here reporting a case of acquired tracheoesophageal fistula post-tracheostomy of a 25-year-old male posted for tracheal reconstruction surgery.
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