Laryngeal atresia in the newborn: Surgical implications

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

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

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
Volume13
Issue number7
DOIs
StatePublished - Jan 1 1996

Fingerprint

Air Movements
Newborn Infant
Tracheoesophageal Fistula
Phonation
Cyanosis
Umbilical Cord
Tracheostomy
Larynx
Survivors
Parturition
Pressure
Survival

Keywords

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

ASJC Scopus subject areas

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

Cite this

Laryngeal atresia in the newborn : Surgical implications. / Hicks, Barry A.; Contador, Monica P.; Perlman, Jeffrey M.

In: American Journal of Perinatology, Vol. 13, No. 7, 01.01.1996, p. 409-411.

Research output: Contribution to journalArticle

Hicks, Barry A. ; Contador, Monica P. ; Perlman, Jeffrey M. / Laryngeal atresia in the newborn : Surgical implications. In: American Journal of Perinatology. 1996 ; Vol. 13, No. 7. pp. 409-411.
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