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Congenital high airway obstruction with tracheoesophageal fistula: A case report.


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.

SUBMITTER: Wang Y 

PROVIDER: S-EPMC6319965 | biostudies-other | 2018 Dec

REPOSITORIES: biostudies-other

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Congenital high airway obstruction with tracheoesophageal fistula: A case report.

Wang Ying Y   Zhao Limin L   Li Xiaoyan X  

Medicine 20181201 51


<h4>Rationale</h4>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.<h4>Patient concern</h4>A male neonate born with poor reactions, weakly spontaneous breathing and cyanosis of the limbs was referred to our hospital.<h4>Diagnosis</h4>CHAOS with tracheoesophageal fistula.<h4>Intervention</h4>A tracheostomy was performed and a 3.0-mm internal diameter tracheostomy tube was inse  ...[more]

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