Iatrogenic tracheoesophageal fistula

This graphic shows an iatrogenic tracheoesophageal fistula placed to enable esophageal speech in a patient who has had a laryngectomy for laryngeal cancer. Computed tomography (CT) scans with axial reconstruction (A) and sagittal multiplanar reformation (B) show two vertical tantalum clips outlining the fistula between the upper trachea and the gas-filled esophagus (arrows). The larynx is surgically absent.