Arslankoylu A E, Unal E, Kuyucu N, Ismi O
Department of Pediatric Intensive Care, Faculty of Medicine, University of Mersin, Turkey.
Department of Otorhinolaryngology, Faculty of Medicine, University of Mersin, Turkey.
Acta Otorhinolaryngol Ital. 2016 Oct;36(5):431-434. doi: 10.14639/0392-100X-636.
Laryngeal and laryngotracheal clefts are rare congenital malformations of the laryngobronchial tree. Their symptoms vary from mild cough to life threatening pulmonary aspiration and cyanosis. Type I and II clefts can be observed without surgical intervention, whereas type III and IV clefts usually require an anterior or lateral cervical approach. We present a case of type III laryngotracheal cleft seen in a 3-monthold male infant who died during revision surgery after an anterior laryngofissure approach. We discuss the difficulties in diagnosis, management and importance of anaesthesia for these rare anomalies in light of the current literature.
喉裂和喉气管裂是喉支气管树罕见的先天性畸形。其症状从轻微咳嗽到危及生命的肺误吸和发绀不等。I型和II型裂无需手术干预即可观察到，而III型和IV型裂通常需要采用颈前或颈侧入路。我们报告了一例3个月大男婴的III型喉气管裂病例，该患儿在喉裂开术入路的翻修手术中死亡。我们根据当前文献讨论了这些罕见畸形在诊断、管理方面的困难以及麻醉的重要性。
