Laryngeal atresia in the newborn: Surgical implications

Barry A. Hicks, Monica P. Contador, Jeffrey M. Perlman

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)409-411
Number of pages3
JournalAmerican Journal of Perinatology
Issue number7
StatePublished - Oct 1996


  • Laryngeal atresia
  • congenital anomalies
  • tracheal agenesis
  • tracheoesophageal fistula

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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