Prenatal diagnosis and management of congenital subglottic stenosis associated with congenital esophageal atresia type C.
Most patients with congenital esophageal atresia (EA) have congenital tracheobronchial abnormalities, which may cause respiratory distress, be difficult to treat and have a poor prognosis. The authors report a neonate with EA and congenital subglottic stenosis (SGS) who exhibited severe respiratory distress immediately after birth. After emergency endotracheal intubation with a narrow endotracheal tube, the authors performed total correction of EA and anterior cricoid split (ACS) on day 1 of age. The postoperative course was uneventful. Some reports have stated that it is difficult to make a prenatal diagnosis when SGS is associated with EA and tracheoesophageal fistula (TEF). The anterior cricoid split technique may be suitable for managing moderate SGS even in neonates with EA. Partial resection of the hypertrophic cricoid cartilage is considered effective in preventing restenosis.
Sato
T
T
Department of Surgery, Miyagi Children's Hospital, Sendai, Japan. tom-sato@ped-surg.med.tohoku.ac.jp
Nio
M
M
Tanaka
H
H
Ohi
R
R
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000628:therapy*; D002404:Catheterization; D003413:Cricoid Cartilage / Q000601:surgery; D004933:Esophageal Atresia / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal; D008279:Magnetic Resonance Imaging; D011296:Prenatal Diagnosis / Q000379:methods*; D036542:Tomography, Spiral Computed; D014135:Tracheal Stenosis / Q000151:congenital / Q000175:diagnosis* / Q000628:therapy*; D014138:Tracheoesophageal Fistula / Q000175:diagnosis; D016216:Ultrasonography, Prenatal