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2 years (IQR 0.7-7.6) at time of surgery. The most common TEF etiologies included congenital (n=13), tracheostomy tube erosion (n=5), and button battery ingestion (n=4). Fistulas ranged in size from 0.5 mm to 4 cm and 59% had previous endoscopic or open repairs. There were two TEF recurrences (7.4%), one of which was successfully revised and the other which was treated with stent placement. Postoperative complications included dehiscence (3.7%), unilateral vocal fold paralysis (3.7%), and mild tracheal stenosis (18.5%). Slide tr