Journal article
Current management of laryngeal and laryngotracheoesophageal clefts
Journal of pediatric surgery, Vol.25(8), pp.855-860
1990
DOI: 10.1016/0022-3468(90)90191-B
PMID: 2401940
Abstract
Laryngeal and laryngotracheoesophageal clefts (L-LTEC) are uncommon anomalies in neonates that cause significant morbidity secondary to aspiration, pneumonia, and respiratory distress. Other anomalies of development, such as esophageal atresia and tracheoesophageal fistula (EA-TEF), are observed in 20% of patients with L-LTEC and often confuse the radiographic and clinical picture. Repair of L-LTEC depends on the length and location of the cleft, associated anomalies, and concurrent systemic illness. For type I L-LTEC, endoscopic repair occasionally is possible with microsurgical instrumentation. With types II to IV L-LTEC, an open approach must be used. Tracheotomy is a universal requirement, often for extended periods of time. Reported here is our experience with four cases of L-LTEC managed over the past 7 years at Texas Children's Hospital.
Details
- Title: Subtitle
- Current management of laryngeal and laryngotracheoesophageal clefts
- Creators
- Jeffrey J DuBoisWilliam J PokornyFranklin J HarbergRichard J.H Smith
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric surgery, Vol.25(8), pp.855-860
- DOI
- 10.1016/0022-3468(90)90191-B
- PMID
- 2401940
- NLM abbreviation
- J Pediatr Surg
- ISSN
- 0022-3468
- eISSN
- 1531-5037
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 1990
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Otolaryngology; Internal Medicine
- Record Identifier
- 9984007194602771
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