H-type tracheo-oesophageal fistula in children with special reference to surgical management and to repair of recurrent nerve injury.
The majority of tracheo-oesophageal fistulas are best treated by a cervical approach, in which there is an obvious risk of injuring the recurrent laryngeal nerve. Usually there is a temporary dysfunction, but if the nerve is completely divided, an attempt at microsurgical direct end-to-end anastomosis is worth while, which is here proven in a child of three weeks of age.
D004945:Esophagoscopy; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007431:Intraoperative Complications; D061224:Laryngeal Nerve Injuries; D008297:Male; D008866:Microsurgery; D011859:Radiography; D012009:Recurrent Laryngeal Nerve / Q000601:surgery; D061226:Recurrent Laryngeal Nerve Injuries; D013536:Suture Techniques; D014138:Tracheoesophageal Fistula / Q000175:diagnosis / Q000601:surgery*