Scholarlink

Background <p>The co-occurrence of congenital laryngotracheoesophageal cleft and tracheal stenosis is extremely rare. Diagnosis is difficult and many affected neonates die within hours to days.</p> Case presentation <p>A male neonate was delivered at 32 weeks and 5 days of gestation. Birth weight was 1364&#xa0;g. Severe asphyxia and respiratory failure were apparent soon after birth. Endotracheal intubation was not successful and esophageal intubation did not provide effective ventilation. Flexible intubation videoendoscopy was performed immediately while continuing mask bagging, which identified congenital laryngotracheoesophageal cleft and tracheal stenosis. Considering the diagnosis, our inability to intubate, and the patient’s other anomalies including left diaphragmatic hernia and congenital heart disease, palliative care was proposed and the family agreed. He died 4&#xa0;h after birth.</p> Conclusions <p>Congenital laryngotracheoesophageal cleft and tracheal stenosis, a rare and mostly fatal anomaly, can be diagnosed in neonates using intubation videoendoscopy. Rapid diagnosis allows for the early introduction of palliative care.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Intubation videoendoscopy in a preterm infant with congenital tracheal stenosis and laryngotracheoesophageal cleft: a case report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月22日

查看全文
  • Yu Namikata,
  • Kouji Motokura,
  • Yuki Tenma,
  • Kotaro Eriguchi,
  • Kentaro Watanabe,
  • Kotaro Inaguma,
  • Shinya Okamoto,
  • Yoshinobu Nishida

摘要

Background

The co-occurrence of congenital laryngotracheoesophageal cleft and tracheal stenosis is extremely rare. Diagnosis is difficult and many affected neonates die within hours to days.

Case presentation

A male neonate was delivered at 32 weeks and 5 days of gestation. Birth weight was 1364 g. Severe asphyxia and respiratory failure were apparent soon after birth. Endotracheal intubation was not successful and esophageal intubation did not provide effective ventilation. Flexible intubation videoendoscopy was performed immediately while continuing mask bagging, which identified congenital laryngotracheoesophageal cleft and tracheal stenosis. Considering the diagnosis, our inability to intubate, and the patient’s other anomalies including left diaphragmatic hernia and congenital heart disease, palliative care was proposed and the family agreed. He died 4 h after birth.

Conclusions

Congenital laryngotracheoesophageal cleft and tracheal stenosis, a rare and mostly fatal anomaly, can be diagnosed in neonates using intubation videoendoscopy. Rapid diagnosis allows for the early introduction of palliative care.