Laryngeal atresia in the newborn: surgical implications. uri icon

Overview

abstract

  • Congenital atresia of the larynx is a rare, life-threatening anomaly in which early recognition and appropriate perinatal management are essential for survival. Few long-term survivors have been reported in the literature, with most documented cases studied at necropsy. The authors present a case of a full-term male newborn with Smith and Bain Type I laryngeal atresia, who has survived and developed normally during the 10-months since birth. Rapidly progressive cyanosis following umbilical cord occlusion, lack of phonation, and no air movement with respiratory efforts are typically present and should alert the clinician to the possibility of laryngeal atresia. Positive pressure ventilatory assistance may be possible through a patent pharyngoglottic duct or tracheoesophageal fistula until a surgical airway is established. If this is not possible, emergent tracheostomy may be a lifesaving procedure in the first minutes of life.

publication date

  • October 1, 1996

Research

keywords

  • Abnormalities, Multiple
  • Larynx

Identity

Scopus Document Identifier

  • 0030478170

PubMed ID

  • 8960609

Additional Document Info

volume

  • 13

issue

  • 7