Criticality in tailoring the treatment for tracheoesophageal fistulas in children.

Details

Serval ID
serval:BIB_C4CB0483EF34
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Criticality in tailoring the treatment for tracheoesophageal fistulas in children.
Journal
European archives of oto-rhino-laryngology
Author(s)
Asik M.B., Almre I., Duchoud L., Sandu K.
ISSN
1434-4726 (Electronic)
ISSN-L
0937-4477
Publication state
Published
Issued date
02/2020
Peer-reviewed
Oui
Volume
277
Number
2
Pages
631-639
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Tracheo-oesophageal fistula (TOF) is a rare pathology. It can be congenital and concurrent with other congenital anomalies such as oesophageal atresia, laryngeal and tracheal agenesis, or it can be acquired. The purpose of this study was to analyse various management strategies and their outcomes in infants and children with TOF and identify potential areas for standardisation of the fistula repair procedures.
At a single institution, a retrospective analysis of infants and children with congenital or acquired TOF between 2013 and 2019 was performed. Thirteen patients were identified. Data collection included: patient demography, associated congenital anomalies, details of fistula at the time of endoscopy, surgical approach and intra-operative findings, need for additional intervention(s), and outcomes.
Thirteen patients underwent endoscopic or open surgeries for correction of TOF. The TOF was congenital in ten patients and acquired in three patients. Eight patients had associated aero-digestive comorbidities, and six patients had systemic comorbidities. Three patients underwent endoscopic procedures and nine patients underwent an open TOF repair. One patient had tracheal agenesis and was not offered any treatment. Two patients required multiple endoscopic interventions for recurrent TOFs. Among four patients with prior tracheostomy, three were decannulated and one awaits decannulation. Conclusıon Appropriate case selection and surgical ergonomics are essential for patients with TOF to avoid recurrences. Preoperative endoscopy to obtain precise details regarding associated laryngotracheal lesions and demographics of the fistula is crucial.
Keywords
Aero-digestive anomalies, Tracheoesophageal fistula
Pubmed
Web of science
Create date
14/11/2019 10:56
Last modification date
10/04/2020 5:20
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