Delayed diagnosis of high proximal tracheoesophageal fistula in esophageal atresia and a novel approach to the treatment of tracheomalacia by submanubrial tracheopexy
نویسندگان
چکیده
An infant with esophageal atresia (EA) had delayed diagnosis of proximal tracheoesophageal fistula (TEF) and severe tracheomalacia. We recommend bronchoscopy via laryngeal mask or rigid bronchoscopy to rule out associated TEF in infants diagnosed with esophageal atresia, as flexible bronchoscopy via endotracheal tube may not provide complete visualization of the trachea. We also describe a novel cervical approach to tracheopexy via neck incision for treatment of associated severe tracheomalacia in this infant.
منابع مشابه
Congenital Esophageal Stenosis Associated with Esophageal Atresia and Gasless Abdomen
SUMMARY A radiologically gasless abdomen in a neonate with EA is usually regarded as being pathognomonic of an absence of distal T.E.F. It has been estimated that up to 1.5% of patient with a distal fistula may have a radiologically gasless abdomens as a manifestation of a very small fistula plugged with mucus. In this case a contrast study via the gastrostomy demonstrated a fistula between th...
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From October 1977 to December 1988, 108 neonates born with esophageal atresia (EA) and/or a tracheoesophageal fistula (TEF) were treated at the Bristol Royal Hospital for Sick Children. An incidence of I :4000-4500 live births was noted. 1I2.4% had the common- type anomaly, 5.5% had pure esophageal atresia, and 6.5% had an H-type anomaly. 2.8% had upper and lower fistulae and 2.8% had uppe...
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Congenital esophageal atresia (EA) and/or tracheoesophageal fistula (TEF) are common congenital anomalies. Respiratory and GI complications occur frequently, and may persist lifelong. Late complications of EA/TEF include tracheomalacia, a recurrence of the TEF, esophageal stricture, and gastroesophageal reflux. These complications may lead to a brassy or honking-type cough, dysphagia, recurrent...
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