Bell D W, Christiansen T A, Smith T E, Stucker F J
Ann Otol Rhinol Laryngol. 1977 Sep-Oct;86(5 Pt 1):616-22. doi: 10.1177/000348947708600509.
Laryngotracheoesophageal cleft was reported by Richter in 1792 after he examined an infant at autopsy and found a common lumen of esophagus and laryngotrachea. The next case was not noted until 1949 by Finlay. A recent review shows 40 cases in the world literature to date. Successful surgical approaches to some of these problems have basically employed a lateral pharyngotomy technique. In the case presented herein, the exact pathology was obscured by a severe tetralogy of Fallot and recurrent pneumonitis from a suspected high H-type tracheoesophageal fistula. The length of this cleft prompted an anterior approach with laryngo-fissure, cricoidotomy, and division of four tracheal rings for a complete and successful repair. Thorough endoscopy of all infants suspected of any laryngeal anomaly would yield an earlier diagnosis and opportunity for reconstruction of the cleft.
1792年，里希特在对一名婴儿进行尸检时发现食管和喉气管有共同管腔，随后报道了喉气管食管裂。直到1949年芬利才发现下一例。最近的一项综述显示，迄今为止世界文献中有40例相关病例。针对其中一些问题的成功手术方法基本上采用了外侧咽切开术。在本文所述的病例中，严重的法洛四联症和疑似高位H型气管食管瘘引起的反复肺炎掩盖了确切的病理情况。这种裂隙的长度促使采用前路喉裂开术、环状软骨切开术并切开四个气管环进行完整且成功的修复。对所有疑似有任何喉部异常的婴儿进行全面内镜检查将能更早地诊断并为裂隙重建创造机会。
