Eur J Pediatr Surg 2008; 18(2): 131-133
DOI: 10.1055/s-2007-965768
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Prenatal Diagnosis and Management of Congenital Subglottic Stenosis Associated with Congenital Esophageal Atresia Type C

T. Sato1 , M. Nio1 , H. Tanaka1 , R. Ohi1
  • 1Department of Surgery, Miyagi Children's Hospital, Sendai, Japan
Further Information

Publication History

received August 17, 2007

accepted after revision September 11, 2007

Publication Date:
25 April 2008 (online)

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Abstract

Most patients with congenital esophageal atresia (EA) have congenital tracheobronchial abnormalities, which may cause respiratory distress, be difficult to treat and have a poor prognosis. The authors report a neonate with EA and congenital subglottic stenosis (SGS) who exhibited severe respiratory distress immediately after birth. After emergency endotracheal intubation with a narrow endotracheal tube, the authors performed total correction of EA and anterior cricoid split (ACS) on day 1 of age. The postoperative course was uneventful. Some reports have stated that it is difficult to make a prenatal diagnosis when SGS is associated with EA and tracheoesophageal fistula (TEF). The anterior cricoid split technique may be suitable for managing moderate SGS even in neonates with EA. Partial resection of the hypertrophic cricoid cartilage is considered effective in preventing restenosis.

References

Dr. Tomoyuki Sato

Department of Surgery
Miyagi Children's Hospital

4-3-17 Ochiai, Aoba-ku

Sendai 989-3126

Japan

Email: tom-sato@ped-surg.med.tohoku.ac.jp; tom-sato@miyagi-children.or.jp