EN
TÜRKÇE
Poster - 38
Laryngotracheal anomalies in patients with esophageal atresia
MM Urquizo Lino, J Camacho
Department of Pediatric Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
Aim:
Report the incidence, morbidity and mortality related to laryngotracheal anomalies (LTA) in patients with esophageal atresia (EA)
Materials:
Retrospective study of patients diagnosed with EA evaluated at the Hospital Italiano de Buenos Aires from 2014 to 2024. The type of EA, the association with other syndromes and the subsequent evolution were reviewed.
An evaluation of the airway, type of laryngotracheal anomalies, the need for mechanical ventilation and dependence on tracheostomy was performed.
Results:
54 patients with EA were evaluated, 14 patients were referred to our Hospital for surgical complications.
74% of patients had the first respiratory endoscopy at the time of the correction of esophageal atresia.
48% of patients had some type of genetic syndrome, 44% had heart disease.
Endoscopic findings were tracheomalacia (40%), laryngomalacia (10%), congenital subglottic stenosis (10%), bilateral vocal cord paralysis (6%), bronchogenic cyst (4%), congenital tracheal stenosis (4%) and cleft III A/B (4%).
41% of patients with LTA required a tracheostomy and of this group 40% required long-term mechanical ventilation. 4 patients died in the first year of life and 3 of them had LTA.
Conclusions:
Laryngotracheal anomalies in patients with esophageal atresia are often associated with genetic syndromes and/or heart disease, so in our population they will temporarily require a tracheostomy and even home mechanical ventilation.
The association EA + LTA + Genetic Syndrome/Heart Disease + trachesotomy/dependence on home ventilation is a high risk factor for death.