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- Ying Wang, Limin Zhao, and Xiaoyan Li.
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
- Medicine (Baltimore). 2018 Dec 1; 97 (51): e13709.
RationaleCongenital high airway obstruction syndrome (CHAOS) is defined as complete or partial obstruction of the fetal upper airways. Laryngeal atresia is the most frequent cause.Patient ConcernA male neonate born with poor reactions, weakly spontaneous breathing and cyanosis of the limbs was referred to our hospital.DiagnosisCHAOS with tracheoesophageal fistula.InterventionA tracheostomy was performed and a 3.0-mm internal diameter tracheostomy tube was inserted.OutcomesNeonatal survival depended on our immediate postnatal intervention.LessonsIn summary, a multidisciplinary team including otolaryngologists, radiologists, obstetricians, and anesthesiologists must be present during the whole diagnosis and treatment process.
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