Peña MRA, Aguirre MH, Pérez HA, Sevilla DYB, Boronat ENE, Hernández AMÁ

Language: Spanish
References: 5
Page: 23-25
PDF size: 720.13 Kb.

ABSTRACT

Laryngeal clefts are infrequent disorders related to stridor, recurrent inferior respiratory infections, feeding difficulty and hoarseness. They are commonly associated to polyhydramnios, gastrointestinal (esophageal atresia), genitourinary and cardiac malformations, among others. Diagnosis standard is the endoscopy of airways (direct laryngoscopy and tracheoscopy). Most laryngeal clefts type II require defect closing (endoscopic or open, via laryngofissure or lateral faryngotomy). Greater clefts are treated with open approaches, with or without toracotomy. The case of a female 2-year-old patient is reported, with perinatal antecedent of polyhydramnios by ultrasound; esophageal atresia type II, who needed a surgical closing; gastroesophageal reflux disease that warranted fundoplication, gastrostomy and tracheostomy. Patient started her current illness at birth with respiratory distress episodes, exacerbations secondary to oral feeding or to gastrostomy withdrawal attempts; there was partial improvement with non-specific antibiotics and mentioned surgeries, but even with fever and mucous-purulent expectoration. Due to symptoms persistence, direct laryngoscopy was done, and a laryngeal cleft type II and subglotic stenosis of 40% were found. Laryngeal plasty and laryngeal cleft closing via laryngofissure were performed, with a successful post operatory following after six months.

REFERENCES

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