Asymptomatic severe laryngotracheoesophageal cleft (LTEC) in a preterm newborn

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
S. M. Menon, J. Chandramati, Ashwin Prabhu, Sasidharan Ponthenkandath
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引用次数: 0

Abstract

Abstract Objectives We are presenting a unique case of severe laryngo-tracheo-esophageal cleft in a preterm infant who remained asymptomatic for several days after birth. Laryngo-tracheo-esophageal cleft (LTEC) is a rare congenital anomaly, representing approximately 0.2–1.5% of congenital laryngeal malformations [Merei JM, Hutson JM. Embryogenesis of tracheo esophageal anomalies: a review. Pediatr Surg Int 2002;18:319–26]. There is an abnormal, posterior, sagittal communication between the larynx and the pharynx, which may extend downward between the trachea and the esophagus. Case presentation We report a case of LTEC in a preterm newborn whose mother had severe polyhydramnios. A preterm 34-week gestation female newborn was born in our institution whose mother had severe polyhydramnios during third trimester. She was postnatally diagnosed to have type 3 LTEC by the 19th day after birth. In the presence of a large common tracheo-esophageal cavity, the baby did not develop aspiration or respiratory distress despite feeding from birth. Conclusions This case report illustrates the many factors and the probable mechanisms involved in preventing aspiration.
早产儿无症状严重喉气管食管裂(LTEC)一例
摘要目的我们提出了一个独特的情况下,严重的喉-气管-食管裂在一个早产儿谁仍然无症状数天后出生。喉-气管-食道裂(LTEC)是一种罕见的先天性异常,约占先天性喉畸形的0.2% - 1.5% [Merei JM, Hutson JM]。气管食管异常的胚胎发生研究进展。中华儿科杂志[j]; 2002;18(3):319 - 326。喉和咽之间有一个不正常的后矢状交通,它可能向下延伸到气管和食道之间。我们报告一例LTEC在早产新生儿的母亲有严重羊水过多。本院出生一名妊娠34周的早产女婴,其母亲在妊娠晚期患有严重羊水过多。出生后第19天,她被诊断为3型LTEC。在存在一个大的常见气管-食管腔的情况下,尽管从出生开始喂养,婴儿没有发生误吸或呼吸窘迫。结论本病例报告阐述了预防误吸的多种因素和可能的机制。
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来源期刊
Case Reports in Perinatal Medicine
Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-
自引率
0.00%
发文量
37
期刊介绍: Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.
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