Myer C M, Cotton R T, Holmes D K, Jackson R K
Dept. of Otolaryngology, Children's Hospital Medical Center, Cincinnati, OH 45229.
Ann Otol Rhinol Laryngol. 1990 Feb;99(2 Pt 1):98-104. doi: 10.1177/000348949009900203.
An uncommon congenital anomaly of the developing aerodigestive tract is the congenital laryngeal cleft and its extension, the congenital laryngotracheoesophageal (LTE) cleft. Because of the subtle findings sometimes seen with clefts confined to the larynx, the diagnosis may be difficult. The potential problems of airway obstruction and repeated aspiration frequently associated with laryngeal and LTE clefts mandate early surgical repair. Over the past 3 years, 14 patients with congenital laryngeal or LTE clefts have been managed at Children's Hospital Medical Center, Cincinnati, Ohio. This report details our experience and philosophy regarding the diagnosis and management of the condition, and presents the histopathologic findings of a case of complete LTE cleft in which surgical repair was delayed and death resulted.
一种发育中的气道消化道罕见的先天性异常是先天性喉裂及其延伸，即先天性喉气管食管裂。由于有时在局限于喉部的裂中所见的细微表现，诊断可能困难。气道阻塞和反复误吸等与喉裂和喉气管食管裂经常相关的潜在问题要求早期手术修复。在过去3年中，俄亥俄州辛辛那提市儿童医院医疗中心对14例先天性喉裂或喉气管食管裂患者进行了治疗。本报告详细介绍了我们对该疾病诊断和治疗的经验及理念，并呈现了一例完全性喉气管食管裂患者的组织病理学结果，该病例手术修复延迟并导致死亡。
