Congenital high airway obstruction with tracheoesophageal fistula

Abstract

Rationale:Congenital high airway obstruction syndrome (CHAOS) is defined as complete or partial obstruction of the fetal upper airways. Laryngeal atresia is the most frequent cause.Patient concern:A male neonate born with poor reactions, weakly spontaneous breathing and cyanosis of the limbs was referred to our hospital.Diagnosis:CHAOS with tracheoesophageal fistula.Intervention:A tracheostomy was performed and a 3.0-mm internal diameter tracheostomy tube was inserted.Outcomes:Neonatal survival depended on our immediate postnatal intervention.Lessons:In summary, a multidisciplinary team including otolaryngologists, radiologists, obstetricians, and anesthesiologists must be present during the whole diagnosis and treatment process.

A Laryngeal Web with Tracheo-Esophageal Fistula: Anaesthesiologist Skating on a Thin Ice

“…The laryngeal lumen gets temporarily blocked by an epithelial lamina during development, which dissolves at 10 th week of gestation. Laryngeal web is formed due to incomplete recanalization of this primitive laryngeal airway (7).…”