[Need for multidisciplinary care management in the treatment of type III laryngo-tracheo-esophageal cleft].
We report a case of type III laryngotracheoesophageal cletf. To our knowledge, this case represents the fourth case repaired. Survival was 22 months. The surgical repair we describe here is the first condition to survival. Close collaboration initially with anesthesiologists, then with the intensive careteam unit is required for post-operative management. Moreover, in addition to the surgical trauma, post-operative management is often long with tracheotomy and gastrostomy leading to a corporeal schema disorder in swallowing and respiration. Early psychologic assistance is indispensable to a good functioning of the aero-digestive region.
Pinlong
E
E
Service ORL et Chirurgie Cervico-Faciale Pédiatrique, CHU Clocheville, Tours.
Lesage
V
V
Robert
M
M
Leddet
I
I
Chamboux-Cheliakine
C
C
Maurage
C
C
Ployet
M J
MJ
D000015:Abnormalities, Multiple; D003422:Critical Care / Q000379:methods; D004947:Esophagus / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007830:Larynx / Q000002:abnormalities* / Q000601:surgery; D009748:Nutrition Disorders / Q000209:etiology / Q000523:psychology; D012086:Reoperation; D013524:Surgical Flaps; D014132:Trachea / Q000002:abnormalities* / Q000601:surgery; D014140:Tracheotomy
La nécessité d'une prise en charge pluridisciplinaire dans le traitement des diastèmes laryngo-trachéo-cesophagiens de type III.