Complete Laryngo-Tracheo-Oesophageal Cleft masquerading as Oesophageal Atresia and Tracheo-oesophageal Fistula: A Potential Diagnostic and Management Challenge.

Autor:	Goring J; Paediatric Surgical Unit, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK., Raghavan A; Department of Paediatric Radiology, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK., Thevasagayam R; Department of Paediatric ENT, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK., Pilling E; Neonatal Intensive Care Unit, Jessop Wing, Tree Root Walk, Sheffield, S10 2SF, UK., Shepherd E; Department of Paediatric Anaesthesia, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK., Murthi GV; Paediatric Surgical Unit, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK.
Jazyk:	angličtina
Zdroj:	Journal of Indian Association of Pediatric Surgeons [J Indian Assoc Pediatr Surg] 2020 Nov-Dec; Vol. 25 (6), pp. 397-400. Date of Electronic Publication: 2020 Oct 27.
DOI:	10.4103/jiaps.JIAPS_205_19
Abstrakt:	Newborn babies presenting with difficulties related to the aerodigestive tract (ADT) are often provisionally diagnosed and managed as having oesophageal atresia +/- tracheo-oesophageal fistula. Continuing difficulties with management and abnormal findings on investigations should lead to the consideration of other congenital anomalies of the ADT, including complete larnygo-tracheo-oesophageal cleft (LTOC). We present two patients who were eventually diagnosed with complete LTOC and care was withdrawn. We discuss the inherent difficulties in reaching this diagnosis and present an algorithm to help manage these rare and challenging situations. Competing Interests: There are no conflicts of interest. (Copyright: © 2020 Journal of Indian Association of Pediatric Surgeons.)
Databáze:	MEDLINE
Externí odkaz: