Sonmez Kaan, Karabulut Ramazan, Turkyilmaz Zafer, Turkyilmaz Canan, Isik Berrin, Eryilmaz Sibel, Seref Kıvanc, Ozcan Ebru, Hosgoren Gul Meral, Basaklar Abdullah Can
Gazi University, Faculty of Medicine, Departments of Pediatric Surgery, Ankara, Turkey.
Neonatology Gazi University, Faculty of Medicine, Ankara, Turkey.
Pan Afr Med J. 2017 Feb 1;26:55. doi: 10.11604/pamj.2017.26.55.10647. eCollection 2017.
Laryngotracheoesophageal clefts (LTECs) are rare congenital defects that are often accompanied by additional anomalies. The major issues in the treatment of these patients are intraoperative exposure insufficiency, technical difficulty of the operation, and anesthesia problems originating from the respiratory tract. Problems originating from mechanical ventilation and respiratory tract, eating disorders and relapse of fistula are among the problems encountered following surgery. Most of the time, concomitant additional anomalies also worsen the clinical picture. It was our aim with these case reports to report our experience in two cases with Type IV LTEC ranging from the inoperable type IV LTEC due to additional anomalies mounted up to severe respiratory distress to the carina that we operated on with a single stage anterior cervicothoracic approach on its fifth day on life.
喉气管食管裂（LTECs）是罕见的先天性缺陷，常伴有其他异常。这些患者治疗中的主要问题包括术中暴露不足、手术技术难度以及源于呼吸道的麻醉问题。手术后面临的问题包括机械通气和呼吸道问题、进食障碍以及瘘管复发。大多数情况下，伴随的其他异常也会使临床情况恶化。通过这些病例报告，我们旨在分享两例IV型LTEC的治疗经验，其中一例因伴有严重呼吸窘迫至隆突的其他异常而无法手术，另一例在出生后第5天采用单阶段颈胸前路手术进行治疗。
