H-type congenital tracheoesophageal fistula: University Of Iowa experience 1985 to 2005

James T Brookes; Mark C Smith; Richard J H Smith; Nancy M Bauman; Jose M Manaligod; Anthony D Sandler

doi:10.1177/000348940711600508

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H-type congenital tracheoesophageal fistula: University Of Iowa experience 1985 to 2005

Journal article

Peer reviewed

H-type congenital tracheoesophageal fistula: University Of Iowa experience 1985 to 2005

James T Brookes, Mark C Smith, Richard J H Smith, Nancy M Bauman, Jose M Manaligod and Anthony D Sandler

Annals of otology, rhinology & laryngology, Vol.116(5), pp.363-368

05/2007

DOI: 10.1177/000348940711600508

PMID: 17561765

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Abstract

We review the diagnostic workup, associated disorders, surgical technique, and postoperative course of patients who underwent repair of H-type tracheoesophageal fistulas. We performed a retrospective chart review of patients who received a diagnosis of tracheoesophageal fistula at the University of Iowa. Seven patients with an H-type tracheoesophageal fistula and a single patient with a missed proximal fistula associated with esophageal atresia were identified. Their symptoms included coughing with feeding, recurrent pneumonia, and episodic cyanosis. A delay in diagnosis was seen in 4 patients and ranged from 2.5 months to 5.9 years. In all patients, the diagnosis was made with an esophagogram. The level of the fistulas was between C5 and T3, and all were successfully repaired via a right cervical approach. A high index of suspicion for an H-type tracheoesophageal fistula should be maintained in the presence of neonatal respiratory symptoms, as the condition can be associated with a delay in diagnosis. Repeat esophagograms and bronchoscopy may be required for diagnosis. In the postoperative period, airway obstruction is a potential risk; however, long-term difficulty with swallowing, respiration, and phonation was not observed.

Recurrence

Pneumonia - etiology

Humans

Child, Preschool

Infant

Male

Radiography

Tracheoesophageal Fistula - congenital

Tracheoesophageal Fistula - surgery

Cough - etiology

Tracheoesophageal Fistula - diagnosis

Esophagus - diagnostic imaging

Female

Retrospective Studies

Cyanosis - etiology

Infant, Newborn

Details

Title: Subtitle: H-type congenital tracheoesophageal fistula: University Of Iowa experience 1985 to 2005
Creators: James T Brookes - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa, USA
Mark C Smith
Richard J H Smith
Nancy M Bauman
Jose M Manaligod
Anthony D Sandler
Resource Type: Journal article
Publication Details: Annals of otology, rhinology & laryngology, Vol.116(5), pp.363-368
DOI: 10.1177/000348940711600508
PMID: 17561765
NLM abbreviation: Ann Otol Rhinol Laryngol
ISSN: 0003-4894
eISSN: 1943-572X
Publisher: United States
Language: English
Date published: 05/2007
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; Radiation Oncology; Otolaryngology; Internal Medicine
Record Identifier: 9984006454602771

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