Laryngotracheoesophageal Cleft Type 3 and Severe Laryngotracheomalacia; Delayed Surgical Repair, a Treatment Challenge with an Excellent Outcome
Laryngotracheoesophageal clefts (LTEC) are rare malformations which involve the upper respiratory and digestive tract. Surgical repair should be undertaken promptly to maintain a secure airway and prevent serious pulmonary aspiration. This paper reports the first case of LTEC type 3 with severe lary...
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doaj-049e9e603af44219adc8c83191150ef82020-11-25T00:07:28ZengElsevierRespiratory Medicine Case Reports2213-00712018-01-01232628Laryngotracheoesophageal Cleft Type 3 and Severe Laryngotracheomalacia; Delayed Surgical Repair, a Treatment Challenge with an Excellent OutcomeAhmad Khaleghnejad0Saeed Sadr1Seyyed Ahmad Tabatabaei2Nazanin Farahbakhsh3Payman Dabirmoghaddam4Saeed Saadat Mansori5Pediatric Surgery Research Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Pulmonology, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Pulmonology, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Pulmonology, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Corresponding author. Tel.: +98 21227029x1370; +98 9173174115 (mobile).Department of Otolaryngology, Tehran University of Medical Sciences, Tehran, IranDepartment of Pulmonology, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranLaryngotracheoesophageal clefts (LTEC) are rare malformations which involve the upper respiratory and digestive tract. Surgical repair should be undertaken promptly to maintain a secure airway and prevent serious pulmonary aspiration. This paper reports the first case of LTEC type 3 with severe laryngotracheomalacia that was brought to Mofid children's hospital in late infancy with a poor health status. Delayed defect correction was our team strategy for the patient when she had achieved good weight gain. At the age of 22 months in collaboration with the pediatric surgical and otolaryngologist team, the repair of the laryngeal cleft was done with lateral open approach method. She was discharged with tracheostomy and gastrostomy. In the next six months follow up after the surgery tracheostomy decannulation and gastrostomy tube removal were done and the infant is now in regular follow-up. Keywords: Laryngotracheoesophageal clefts, Laryngotracheomalacia, Surgical repairhttp://www.sciencedirect.com/science/article/pii/S2213007117302964 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ahmad Khaleghnejad Saeed Sadr Seyyed Ahmad Tabatabaei Nazanin Farahbakhsh Payman Dabirmoghaddam Saeed Saadat Mansori |
spellingShingle |
Ahmad Khaleghnejad Saeed Sadr Seyyed Ahmad Tabatabaei Nazanin Farahbakhsh Payman Dabirmoghaddam Saeed Saadat Mansori Laryngotracheoesophageal Cleft Type 3 and Severe Laryngotracheomalacia; Delayed Surgical Repair, a Treatment Challenge with an Excellent Outcome Respiratory Medicine Case Reports |
author_facet |
Ahmad Khaleghnejad Saeed Sadr Seyyed Ahmad Tabatabaei Nazanin Farahbakhsh Payman Dabirmoghaddam Saeed Saadat Mansori |
author_sort |
Ahmad Khaleghnejad |
title |
Laryngotracheoesophageal Cleft Type 3 and Severe Laryngotracheomalacia; Delayed Surgical Repair, a Treatment Challenge with an Excellent Outcome |
title_short |
Laryngotracheoesophageal Cleft Type 3 and Severe Laryngotracheomalacia; Delayed Surgical Repair, a Treatment Challenge with an Excellent Outcome |
title_full |
Laryngotracheoesophageal Cleft Type 3 and Severe Laryngotracheomalacia; Delayed Surgical Repair, a Treatment Challenge with an Excellent Outcome |
title_fullStr |
Laryngotracheoesophageal Cleft Type 3 and Severe Laryngotracheomalacia; Delayed Surgical Repair, a Treatment Challenge with an Excellent Outcome |
title_full_unstemmed |
Laryngotracheoesophageal Cleft Type 3 and Severe Laryngotracheomalacia; Delayed Surgical Repair, a Treatment Challenge with an Excellent Outcome |
title_sort |
laryngotracheoesophageal cleft type 3 and severe laryngotracheomalacia; delayed surgical repair, a treatment challenge with an excellent outcome |
publisher |
Elsevier |
series |
Respiratory Medicine Case Reports |
issn |
2213-0071 |
publishDate |
2018-01-01 |
description |
Laryngotracheoesophageal clefts (LTEC) are rare malformations which involve the upper respiratory and digestive tract. Surgical repair should be undertaken promptly to maintain a secure airway and prevent serious pulmonary aspiration. This paper reports the first case of LTEC type 3 with severe laryngotracheomalacia that was brought to Mofid children's hospital in late infancy with a poor health status. Delayed defect correction was our team strategy for the patient when she had achieved good weight gain. At the age of 22 months in collaboration with the pediatric surgical and otolaryngologist team, the repair of the laryngeal cleft was done with lateral open approach method. She was discharged with tracheostomy and gastrostomy. In the next six months follow up after the surgery tracheostomy decannulation and gastrostomy tube removal were done and the infant is now in regular follow-up. Keywords: Laryngotracheoesophageal clefts, Laryngotracheomalacia, Surgical repair |
url |
http://www.sciencedirect.com/science/article/pii/S2213007117302964 |
work_keys_str_mv |
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