Vocal Fold Paralysis in Infants with Tracheoesophageal Fistula

Oestreicher‐Kedem, Yael; DeRowe, Ari; Nagar, Hagith; Fishman, Gad; Ben‐Ari, Josef

doi:10.1177/000348940811701206

Cited by 29 publications

(10 citation statements)

References 31 publications

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“…Postoperative tracheal extubation is determined by complications related to airway anatomy: tracheo‐bronchomalacia, recurrent laryngeal nerve injury, overlooked fistula and recurrent fistula (33,34). Although tracheo‐bronchomalacia is present in 75% of pathologic specimens, clinically relevant malacia occurs in 10–20%, rarely requiring aortopexy (35,36).…”

Section: Anesthetic Managementmentioning

confidence: 99%

Anesthetic management of congenital tracheoesophageal fistula

Broemling

Campbell

2010

Pediatric Anesthesia

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This article reviews (a) risk factors and preoperative considerations of the patient with tracheoesophageal fistula, (b) anesthetic management, including (i) airway management, (ii) induction of anesthesia and monitoring and (iii) postoperative disposition, (c) considerations for concomitant congenital heart disease, (d) considerations for thoracoscopic repair and (e) long-term outcomes and considerations of the patient with repaired esophageal atresia/tracheoesophageal fistula.

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Section: Anesthetic Managementmentioning

confidence: 99%

Anesthetic management of congenital tracheoesophageal fistula

Broemling

Campbell

2010

Pediatric Anesthesia

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“…RLN injury during surgery for esophageal atresia (EA), tracheoesophageal fistula (TEF), and tracheobronchomalacia (TBM) is established in the literature as the RLN often courses through the operative field (Figure 1). The incidence ranges from 11 to 50% and varies by approach, the patient's anatomy, and concurrent cardiac procedures (8)(9)(10)(11)(12)(13). Identifying and protecting the RLN is particularly difficult in the surgery of neonates and in revision cases (13).…”

Section: Brief Historical Perspectivementioning

confidence: 99%

Intraoperative Recurrent Laryngeal Nerve Monitoring During Pediatric Cardiac and Thoracic Surgery: A Mini Review

et al. 2020

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Objective: Review techniques for intraoperative recurrent laryngeal nerve (RLN) monitoring during pediatric surgery for esophageal atresia, tracheoesophageal fistula, tracheobronchomalacia, and cardiac surgery.Summary Background Data: Literature was reviewed for reports of intraoperative recurrent laryngeal nerve monitoring in cervical, thoracic, and cardiac surgical procedures which place the RLNs at risk for injury.Methods: Review paper.Results: The RLN is at risk during pediatric surgery for esophageal atresia, tracheoesophageal fistula, tracheobronchomalacia, and cardiac surgery. Intraoperative nerve monitoring has decreased rates of RLN injury in thyroid surgery. Intraoperative RLN monitoring techniques appropriate for pediatric surgery are discussed, including endotracheal tubes with integrated surface electrodes, adhesive surface electrodes for smaller endotracheal tubes, endolaryngeal electrodes, and automatic periodic continuous intra-operative stimulation.Conclusions: Multiple techniques exist to monitor the RLN in children undergoing cervical, cardiac, and thoracic surgery. Monitoring the RLN during procedures that place the RLNs at risk may help decrease the rate of RLN injury.

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“…In support to the possibility of a congenital disturbance of RLN function come the data from Oestreicher-Kedem et al that report one patient with EA without TEF who had VCD before esophageal surgery. 55 In addition, human anatomic studies and experimental studies have shown abnormalities of both the vagus nerve and the RLN associated with EA, 56,57 that may explain the predisposition to congenital dysfunction of the RLN. Therefore, congenital VCD should be excluded in all patients with EA/TEF before surgery, using preoperative awake laryngoscopy.…”

Section: Vocal Cord Dysfunctionmentioning

confidence: 99%

Perioperative Complications of Esophageal Atresia

2018

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Current survival rate of infants with esophageal atresia with/without tracheoesophageal fistula (EA/TEF) exceeds 90% and great interest is dedicated to the long-term outcomes and complications. However, perioperative complications represent a significant burden to the EA/TEF infants and a technical challenge for the surgeon. In this review, we will focus on the most frequent perioperative complications specific of EA/TEF to describe their predisposing factors, possible preventive measures, and treatment options.

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Vocal Fold Paralysis in Infants with Tracheoesophageal Fistula

Cited by 29 publications

References 31 publications

Anesthetic management of congenital tracheoesophageal fistula

Anesthetic management of congenital tracheoesophageal fistula

Intraoperative Recurrent Laryngeal Nerve Monitoring During Pediatric Cardiac and Thoracic Surgery: A Mini Review

Perioperative Complications of Esophageal Atresia

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