Congenital high airway obstruction with tracheoesophageal fistula: A case report

Rationale:
Congenital high airway obstruction syndrome (CHAOS) is defined as complete or partial obstruction of the fetal upper airways. Laryngeal atresia is the most frequent cause.
Patient concern:
A male neonate born with poor reactions, weakly spontaneous breathing and cyanosis of the limbs was referred to our hospital.
Diagnosis:
CHAOS with tracheoesophageal fistula.
Intervention:
A tracheostomy was performed and a 3.0-mm internal diameter tracheostomy tube was inserted.
Outcomes:
Neonatal survival depended on our immediate postnatal intervention.
Lessons:
In summary, a multidisciplinary team including otolaryngologists, radiologists, obstetricians, and anesthesiologists must be present during the whole diagnosis and treatment process.

Source: Medicine - December 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research