Korean J Anesthesiol.  1987 Oct;20(5):712-716. 10.4097/kjae.1987.20.5.712.

Anesthesia for Congenital Esophageal Atresia and Tracheoesophageal Fistula Combined with Subglottic Laryngeal Stenosis - A case report -

• Kim SI
• Kim SY

• KMID: 1933275
• DOI: http://doi.org/10.4097/kjae.1987.20.5.712

Abstract

We experience a 1 day old female patient with congenital esophageal atresia and tracheoeso-phageal fistula combined with a subglottic laryngeal stenosis which was 2 mm in diamete. At the time of surgery, an attempt was made to intubate, but it was impossible to pass a tube beyond the vocal cord which was mormal in size and shape. Thus a gastrostomy was performed only under mask with pure oxygen and local anesthesia. The child died one day later due to respiratory failure. Congenital subglottic laryngeal stenosis combined with esophageal atresia and tracheoeso-phageal fistula is very rare, but it is a very critical anomaly to anesthesia and resuscitation. Therefore, in the case of esophageal atresia and tracheoesophageal fistula with signs of respiratory obstruction, the possible presence of subglottic laryngeal stenosis should be considered and accurately assessed.

MeSH Terms

Anesthesia*
Anesthesia, Local
Child
Esophageal Atresia*
Female
Fistula
Gastrostomy
Humans
Laryngostenosis*
Masks
Oxygen
Respiratory Insufficiency
Resuscitation
Tracheoesophageal Fistula*
Vocal Cords
Oxygen