The adaptive use of a hand-crafted endotracheal-endobronchial tube for airway management in laryngo-tracheo-esophageal cleft type IV

Laryngotracheoesophageal cleft (LTEC) is a rare congenital disorder, observed in 1 in 10,000 to 20,000 live births [1]. It is believed to result from arrested development of the tracheoesophageal septum and failed posterior fusion of the cricoid lamina during embryogenesis weeks 5-6 of gestation, presenting a spectrum of disease severity and comorbidity.

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