An old case of tracheostomy (post head-injury) with failure of stomal closure presented 8 months after decanulation.
CT Scan Neck (Axial Sections)for stomal tract delineation done.
Three day trial closure of stoma done with tape to assess tolerance of the patient.
Surgical excision of fistulous tract and layered closure done successfully. Tracheal air leak tested with 100 mm H
Patient satisfactorily discharged.
Post-op recovery satisfactory.