Revision repair of type IV laryngotracheoesophageal cleft using multiple long tapered engaging grafts.

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Revision repair of type IV laryngotracheoesophageal cleft using multiple long tapered engaging grafts.

Int J Pediatr Otorhinolaryngol. 2017 Dec;103:80-82

Authors: Propst EJ

Abstract
An 8 year-old female with esophageal atresia and a type IV laryngotracheoesophageal cleft underwent tracheostomy, gastric pull-up and fundoplication with G-tube insertion at birth. She remained nil per os due to aspiration. The trachealis was separated from the esophagus that was reapproximated and clavicular periosteum was placed. A long posterior costal cartilage graft that engaged behind the cricoid plate and tapered inferiorly was inserted. A second thin cartilage graft was sutured to it distally to extend the length of the repair. This allowed for removal of the tracheostomy and oral feeding while providing a four-layer closure to prevent aspiration.

PMID: 29224771 [PubMed - indexed for MEDLINE]

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