Ortega-Salgado A, Almazán-Bonora G, De la Torre-Mondragó L

Language: Spanish
References: 6
Page: 105-110
PDF size: 253.22 Kb.

ABSTRACT

Introduction: The laringotracheoesophageal cleft is a rare anomaly characterized by a lack of the whole length of septum between the larynx, trachea and esophagus. Clinically cyanosis from birth, choking during feeding, and aspiration pneumonias.
Presentation of the case: A Feminine with data of reflux gastroesophageal carrying out of Nissen funduplication and gastrostomy. It presents breathing squares of repetition. laringotracheoscopy is carried out demonstrating fissure laringotracheoesophageal from aritenoides until carina. It passes surgical detecting channel common of esophagus to windpipe. Carrying out channel plasty common with closing of tracheal wall and esophageal leaving penrose. It develops mediastinitis; A clean surgical in larynx esophageal hole being sutured. Esophagram with water-pipe tracheoesophagical It continues feeding for gastrostomy new Esophagram without water-pipe, pass out. With normal endoscopy. He/she retires gastrostomy probe.
Discussion: fissure type III for broncoscopy fissure from aritenoides until carina, with intestinal malrotation. It is approached previous carrying out primary closing developing mediastinitis managed surgical toilets and handling ventilatory for 2 weeks presents evolution satisfactory pass out, without pneumonias.

REFERENCES

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