Tracheocutaneous fistula (TCF) is a known complication of
tracheostomy. It can cause problems such as saliva leak, predispose
to infection from external skin into respiratory tract and cosmetically
not acceptable. Treatment of the underlying infection is paramount
important. Persistence of tract after sufficient duration of observation
period should be surgically treated. Cases reported in the literature
are mainly regarding paediatric TCF and the procedures are usually
done under general anesthesia. We describe a case of surgical
treatment of an adult TCF which was done under local anaesthesia.