Tracheoesophageal fistula associated with tracheal atresia and malformation of the larynx

Peison, Bernard; Levitzky, Edward; Sprowls, John J.

doi:10.1016/0022-3468(70)90079-5

Cited by 10 publications

(2 citation statements)

References 3 publications

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“…At one end of this spectrum are the severe deformities of the upper respiratory tract which are incompatible with life and lead to fatalities in the early neonatal period. These include laryngeal stenosis and atresia (Sayre & Hall, 1954); incomplete separation of larynx and trachea from the oesophagus (Zachary & Emery 1961); partial absence of the trachea (Sandison 1955, Peison, Levitsky & Sprowls 1970 and complete absence of the trachea (Joshi 1969). All have been reported as isolated cases and appear to be exceedingly rare.…”

Section: Discussionmentioning

confidence: 98%

The trachea in children with tracheo‐oesophageal fistula

Wailoo¹,

Emery²

1979

Histopathology

161

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Forty tracheas from children with tracheo-oesophageal fistulae were histologically analysed for structural deformity. Thirty (75%) had a deficiency of cartilage; 24 (60%) showed an increase in the length of the transverse muscle, and 26 (65%) had a longer than average internal perimeter. Only six tracheas were entirely normal. The position of the fistula bore little relationship to the abnormalities found. Since in only nine patients were abnormalities restricted to the site of the fistula, we believe that careful examination of the whole length of the trachea is needed at the time of surgery to determine the extent of the anomaly and to anticipate tracheal problems. This is also relevant to autopsy studies and to elucidate the cause of death.

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Section: Discussionmentioning

confidence: 98%

The trachea in children with tracheo‐oesophageal fistula

Wailoo¹,

Emery²

1979

Histopathology

161

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“…The terms tracheal agenesis, tracheal atresia , and tracheal aplasia have each been used in the literature to refer to essentially the same entity 4–8 . These terms have also been used to differentiate more severe from less severe cases.…”

Section: Discussionmentioning

confidence: 99%

Tracheal Agenesis: A Case Report and Review of the Literature

Kerschner

Klotch

1997

Otolaryngol.--head neck surg.

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Tracheal agenesis is a devastating congenital anomaly first described in 1900 by Payne. 1 In 1962 Floyd et al.2 classified tracheal agenesis into three types (Figs. 1, 2, and 3). One year later, Fonkalsrud et al. 3 attempted the first surgical correction of this anomaly. This attempt, as well as other interventions, have been unsuccessful in allowing any long-term survival.Eighty-seven cases have previously been identified in the world literature. This additional Floyd type III case typifies the problems of assessment and management of this fatal anomaly. A discussion of the embryology and associated congenital anomalies is presented. The clinical aspects of managing this abnormality are described along with previous attempts at surgical correction. Newer investigations may lead to a solution of this lethal anomaly. CASE REPORTA full-term, 3300-gm girl was delivered by normal spontaneous vaginal delivery to a 23-year-old gravida 2, para 1 mother who had an uncomplicated pregnancy with a normalappearing ultrasound at 20 weeks. After delivery the child was noted to have respiratory distress with Apgar scores of 3 and 6 at 1 and 5 minutes. The infant was noted to have an absent cry. Attempt was made to intubate the infant without success. Saturations were maintained with the use of bag-valve mask. Attempts at intubation by the neonatology service were also unsuccessful, and the child was taken to the neonatal intensive care unit while being supported by bag and mask. The ototaryngology service was called, and after direct laryngoscopy revealed no subglottic opening, the infant was taken directly to the operating room. Further endoscopy at this time revealed essentially normal-appearing vocal folds with complete occlusion of the airway immediately in the subglottic area. A patent esophagus was identified posteriorly. A neck exploration was performed in an attempt to identify a tracheal rem-From the Divisions of Otolaryngology (Dr.

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