Congenital high airway obstruction syndrome and airway reconstruction: an evolving paradigm.

Details

Serval ID
serval:BIB_C66E8338B42E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Congenital high airway obstruction syndrome and airway reconstruction: an evolving paradigm.
Journal
Archives of Otolaryngology--Head and Neck Surgery
Author(s)
Hartnick C.J., Rutter M., Lang F., Willging J.P., Cotton R.T.
ISSN
0886-4470 (Print)
ISSN-L
0886-4470
Publication state
Published
Issued date
2002
Volume
128
Number
5
Pages
567-570
Language
english
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish. PDF type: Original article
Abstract
OBJECTIVES: To refine the classic definition of, and provide a working definition for, congenital high airway obstruction syndrome (CHAOS) and to discuss the various aspects of long-term airway reconstruction, including the range of laryngeal anomalies and the various techniques for reconstruction.
DESIGN: Retrospective chart review.
PATIENTS: Four children (age range, 2-8 years) with CHAOS who presented to a single tertiary care children's hospital for pediatric airway reconstruction between 1995 and 2000.
CONCLUSIONS: To date, CHAOS remains poorly described in the otolaryngologic literature. We propose the following working definition for pediatric cases of CHAOS: any neonate who needs a surgical airway within 1 hour of birth owing to high upper airway (ie, glottic, subglottic, or upper tracheal) obstruction and who cannot be tracheally intubated other than through a persistent tracheoesophageal fistula. Therefore, CHAOS has 3 possible presentations: (1) complete laryngeal atresia without an esophageal fistula, (2) complete laryngeal atresia with a tracheoesophageal fistula, and (3) near-complete high upper airway obstruction. Management of the airway, particularly in regard to long-term reconstruction, in children with CHAOS is complex and challenging.
Keywords
Abnormalities, Multiple/surgery, Child, Humans, Infant, Laryngostenosis/congenital, Laryngostenosis/surgery, Male, Pulmonary Disease, Chronic Obstructive/congenital, Pulmonary Disease, Chronic Obstructive/surgery, Reconstructive Surgical Procedures/methods, Respiratory System Abnormalities/surgery, Retrospective Studies, Syndrome, Treatment Outcome
Pubmed
Web of science
Create date
01/05/2013 15:59
Last modification date
20/08/2019 15:41
Usage data