Ann Oto Rhinol Laryn
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Ann Oto Rhinol Laryn · Dec 2002
Case ReportsRepair of a type IV laryngotracheoesophageal cleft with cardiopulmonary bypass.
Laryngotracheoesophageal clefts (LTECs) are rare congenital defects of variable severity depending on the extent of malformation. Management of a complete LTEC represents a major surgical and anesthetic challenge. The main problems are achieving adequate operative exposure and maintaining ventilatory support during and after the operation. ⋯ Nissen fundoplication and gastrostomy were carried out on the 11th postoperative day. The child was extubated on the 12th postoperative day. The rationale for this method and its advantages in comparison with other surgical approaches are discussed.