Endoscopic repair of laryngotracheoesophageal clefts

Koji Fukumoto, Go Miyano, Masaya Yamoto, Hiroshi Nouso, Hiromu Miyake, Masakatsu Kaneshiro, Hideaki Nakajima, Mariko Koyama, Kyoko Mochizuki, Masato Shinkai, Naoto Urushihara

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background/Purpose In Japan, surgical repair of a laryngotracheoesophageal cleft (LTEC) typically consists of the anterior approach, with the lateral approach as an alternative. Endoscopic surgery to repair the tracheoesophageal septum has been reported, and this study reviewed our experience treating several cases of LTEC endoscopically. Methods Endoscopic repair of LTEC was performed in 7 patients (3 boys, 4 girls; age range 4 months to 2 years 10 months; mean age 11 months; mean weight at surgery 7.23 kg; weight range 3.85-12.24 kg) between 2009 and 2014. LTEC was type I in 5 patients and types II and IV in 1 patient each. The patient with type IV was first operated on by the lateral approach, and the remaining cleft, which level was type III, was repaired endoscopically. Postoperative outcomes were retrospectively studied. Results Endoscopic surgery was successful in all patients. All 6 patients with types I and II LTEC were extubated easily, while in the patient with type IV LTEC, it was difficult to remove the tracheostomy cannula because of tracheomalacia. Postoperatively, tracheostomy cannulation became more stable, and the patient is gradually being weaned off the ventilator. All patients could be fed orally without difficulty postoperatively. Conclusions Endoscopic surgery provides a view from the cephalic aspect permitting the surgeon to form a normal larynx with only minimal risk of complications.

Original languageEnglish
Pages (from-to)1801-1804
Number of pages4
JournalJournal of Pediatric Surgery
Volume50
Issue number10
DOIs
Publication statusPublished - Jan 4 2015
Externally publishedYes

Keywords

  • Complications
  • Endoscopic surgery
  • Laryngotracheoesophageal cleft (LTEC)

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Fukumoto, K., Miyano, G., Yamoto, M., Nouso, H., Miyake, H., Kaneshiro, M., Nakajima, H., Koyama, M., Mochizuki, K., Shinkai, M., & Urushihara, N. (2015). Endoscopic repair of laryngotracheoesophageal clefts. Journal of Pediatric Surgery, 50(10), 1801-1804. https://doi.org/10.1016/j.jpedsurg.2015.07.018