Doctor Ricky | Plastic Surgeon on Instagram: "What is a spit fistula—and why do patients still drink by mouth even when food and liquid can’t reach their stomach? 🧠💧 … A spit fistula is an opening created (usually surgically) from the esophagus to the skin, allowing saliva and oral secretions to exit the body when the esophagus can no longer connect to the stomach or intestines—often due to trauma, surgery, or congenital conditions. … 👉 Even though nothing swallowed reaches the stomach, many