Prevalence of laryngo-thracheal abnormalities in esophageal atresia patients
-
1
Ospedale Pediatrico Bambino Gesu', Department of Medical and Surgical Neonatology, Italy
-
2
Ospedale Pediatrico Bambino Gesu', Department of Surgery, Italy
Introduction: Esophageal atresia (EA) patients frequently present respiratory disorders secondary to laryngo-tracheal abnormalities (LTA), weather congenital or acquired after esophageal surgery.
To date, different authors suggest preoperative tracheobronchoscopy in patients with EA as a valuable toll to evaluate vocal cord motility, assessing laryngeal and tracheal anatomy, while preoperative measuring esophageal GAP. Nonetheless, the overall incidence of LTA in EA infants is not well known.
Aim: to evaluate the prevalence of laryngo-tracheal problems in patients treated for esophageal atresia.
Methods: All patients who had a hospital discharge with a IDC-9-CM code 7503 tracheoesophageal fistula and esophageal atresia), between January 2008 and June 2016 entered the present study. LTA were defined as presence of moderate to severe tracheomalacia, AND/OR subglottic stenosis AND/OR vocal cord paralysis (mono or bilateral), other major LTA (cleft, major complex anomalies). Patients were divided based on the presence/absence of LTA. Clinical files of all patients treated were evaluated.
Results: During the study period 163 patients were treated. LTA were observed in 52 patients (33%) out of 163. Table 1 summarized main outcomes.
Conclusions: Present data suggest a high prevalence of congenital LTA in patients affected by EA. Most of the abnormalities were congenital and a high proportion of patients (24%) with LTA required tracheostomy (12/52). Mortality significantly correlates with the presence of LTA.
Keywords:
esophageal atresia; tracheoesophageal fistula,
laringe-tracheal malformations,
Tracheoesophageal Fistula,
Tracheostomy,
subglottic stenosis,
Vocal Cord Paralysis
Conference:
4th International Conference on Oesophageal Atresia / 15-16 September 2016 / Sydney Australia, Sydney, Australia, 15 Sep - 22 Nov, 2016.
Presentation Type:
Oral
Topic:
Young Investigator Session
Citation:
Conforti
A,
Valfrè
L,
Penco
S,
Bottero
S,
Tambucci
R and
Bagolan
P
(2017). Prevalence of laryngo-thracheal abnormalities in esophageal atresia patients.
Front. Pediatr.
Conference Abstract:
4th International Conference on Oesophageal Atresia / 15-16 September 2016 / Sydney Australia.
doi: 10.3389/conf.FPED.2017.01.000011
Copyright:
The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers.
They are made available through the Frontiers publishing platform as a service to conference organizers and presenters.
The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated.
Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed.
For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions.
Received:
14 Sep 2016;
Published Online:
11 Dec 2017.
*
Correspondence:
Mr. Andrea Conforti, Ospedale Pediatrico Bambino Gesu', Department of Medical and Surgical Neonatology, Rome, 00165, Italy, andrea.conforti@opbg.net