| Abstract: |
The congenital tracheoscphageal fistula is considered to be not uncommon congenital anomaly. It has been diagnosed since beginning of twenty century. At the first results of management of congenital TEF was of high technological facilities, and associated congenital anomalies e.g. cardiovascular anomalies, gastrointestional, anomalies. With the advance in the diagnostic facilities for preinatal diagnosis, easily confirmed. Also, the advance in management of premature babies has great role in resuscitation of these babies. With the advance in medical physics, endoscopies, CT and MRI, the diagnosis becomes accurate and quick. Considering the symptoms of congenital the symptoms of congenital TEF, it becomes early in life, as cough, cyanosis, aspiration, and air disallowing, recurrent chest infection in addition to the symptoms of associated congenital anomalies as the cause of congenital TEF is due to anomalies in chromosome 17. Barium esophagogram is one of important diagnostic techniques also, branchoscopy or esophagoscopy. Many surgical approaches, as lower cervical inscions, lateral thoracotomy or median sternotomy, according to the level of fistula. It is important to localize the fistula and ligate it, taking care of the surrounding structures especially recurrent laryngeal nerve. Thoracoscopic management has showed advantages over the traditional surgical management as decreasing postoperative scoliosis
|
|
|