A case of antenatally undiagnosed laryngeal atresia with tracheo-esophageal fistula with airway obstruction at birth and its management

Laryngeal atresia is a rare congenital anomaly that is usually diagnosed by antenatal ultrasound, however, if undiagnosed presents with desaturation after birth. A term neonate presented with airway obstruction after birth with multiple failed attempts at intubation and was rescued by proseal laryngeal mask airway (LMA). An esophagoscopy using an Ambuscope utilizing a modified connector assembly revealed an opening on the anterior wall of the esophagus with no esophageal atresia, leading to a diagnosis of H-type tracheo-esophageal fistula (TEF) with laryngeal atresia. The ability to ventilate the neonate via LMA with an absent glottic opening raised the possibility of TEF.

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Work Title A case of antenatally undiagnosed laryngeal atresia with tracheo-esophageal fistula with airway obstruction at birth and its management
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Open Access
Creators
  1. Lipika Soni
  2. Ganga Prasad
  3. Manpreet Kaur
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Pediatric Anesthesia
Publication Date November 15, 2023
Publisher Identifier (DOI)
  1. https://doi.org/10.1111/pan.14794
Deposited April 22, 2024

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Version 1
published

  • Created
  • Added Pediatric_Anesthesia_-_2023_-_Soni_-_A_case_of_antenatally_undiagnosed_laryngeal_atresia_with_tracheo_esophageal_fistula.pdf
  • Added Creator Lipika Soni
  • Added Creator Ganga Prasad
  • Added Creator Manpreet Kaur
  • Published
  • Updated
  • Updated Publisher, Publication Date Show Changes
    Publisher
    • Paediatric Anaesthesia
    • Pediatric Anesthesia
    Publication Date
    • 2024-02-01
    • 2023-11-15

Version 2
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  • Deleted Pediatric_Anesthesia_-_2023_-_Soni_-_A_case_of_antenatally_undiagnosed_laryngeal_atresia_with_tracheo_esophageal_fistula.pdf
  • Added ACCESSIBLE_VERSION_Pediatric_Anesthesia_-_2023_-_Soni_-_A_case_of_antenatally_undiagnosed_laryngeal_atresia_with_tracheo_esophageal_fistula.pdf
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