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Preoperative computed tomography (CT) and physical examination. A, Axial view showing a tracheocutaneous fistula. B, Sagittal view showing an oblique 3.5-mm wide, 2.5-cm long air-filled tract from the skin to the anterior trachea. C, Persistent tracheal stoma 5 months after decannulation and 2 nonsurgical closure attempts. D, Boundary markings of planned skin flap: circular marking immediately around stoma and transverse ellipse encompassing the circle.
