tracheo-oesophageal fistula


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tracheo-oesophageal fistula

An abnormal connection between the windpipe (trachea) and the gullet (oesophagus), present at birth. This results from failure of full differentiation of the two structures in early fetal life. The baby cannot swallow normally and milk may enter the trachea causing choking and the risk of asphyxia, pneumonia and collapse of the lungs. Early surgical correction is necessary.
References in periodicals archive ?
checking for associated congenital abnormalities (vertebral defects, anal atresia, cardiac defects, tracheo-oesophageal fistula, renal anomalies, and limb abnormalities (VACTERL syndrome)).
Jack was born prematurely and later diagnosed with Tetralogy of Fallot - a hole in the heart and defective valves - and tracheo-oesophageal fistula, a rare defect where the bottom end of the food pipe is joined to the windpipe.
Tracheo-oesophageal speech utilising a voice prosthesis, also known as a 'one-way speaking valve', inserted into a tracheo-oesophageal fistula (TOF) is a common mode of speech rehabilitation for patients following laryngectomy.
Little Jack Sundin was diagnosed with Tetralogy of Fallot - a hole in the heart and defective valves - and tracheo-oesophageal fistula, a rare defect where the bottom end of the food pipe is joined to the windpipe.
Tracheo-oesophageal fistula is when a section of the baby's food pipe is joined to its windpipe.
However, there are various contraindications to non-invasive ventilation and/or tracheal re-intubation, such as recent oesophageal anastomosis, anastomotic leakage or tracheal stenting for tracheo-oesophageal fistula.
Bronchoscopic examination of the airway and CT scan revealed anastomotic leakage resulting in a tracheo-oesophageal fistula with a 4 cm long defect of the posterior tracheal wall.
Excessive tracheal tube cuff pressures can cause mucosal ischaemia leading to tracheal stenosis or tracheo-oesophageal fistula (1) and under-inflation of the cuff has been associated with an increased risk of ventilator-associated pneumonia (2).
Keir, 17, spent the first 10 months of his life in and out of hospital as he was born with a condition called tracheo-oesophageal fistula, where the bottom end of the oesophagus is joined to his windpipe.
Over-inflation of ETT cuffs to pressures exceeding 30 cm H2O may result in serious complications including tracheal stenosis, tracheal rupture and tracheo-oesophageal fistula.
71 highlight the versatility of median sternotomy (MS) in dealing with children requiring treatment of penetrating mediastinal trauma, anterior and posterior mediastinal masses, acquired tracheo-oesophageal fistulas secondary to button battery impaction, bronchial foreign bodies and bilateral pulmonary metastases secondary to malignancy.
While higher fistulas can be treated through cervical incisions alone, as for congenital H-type tracheo-oesophageal fistulas, in both our cases the fistulas were inaccessible through an isolated cervical approach; in both there was necrosis of the adjacent oesophagus and trachea with large oesophago-tracheal fistulas.