Wang Y, Zhao L, Li X. Congenital high airway obstruction with tracheoesophageal fistula: A case report.
Medicine (Baltimore) 2018;
97:e13709. [PMID:
30572501 PMCID:
PMC6319965 DOI:
10.1097/md.0000000000013709]
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Abstract
RATIONALE
Congenital high airway obstruction syndrome (CHAOS) is defined as complete or partial obstruction of the fetal upper airways. Laryngeal atresia is the most frequent cause.
PATIENT CONCERN
A male neonate born with poor reactions, weakly spontaneous breathing and cyanosis of the limbs was referred to our hospital.
DIAGNOSIS
CHAOS with tracheoesophageal fistula.
INTERVENTION
A tracheostomy was performed and a 3.0-mm internal diameter tracheostomy tube was inserted.
OUTCOMES
Neonatal survival depended on our immediate postnatal intervention.
LESSONS
In summary, a multidisciplinary team including otolaryngologists, radiologists, obstetricians, and anesthesiologists must be present during the whole diagnosis and treatment process.
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