多発奇形を伴った喉頭裂の1症例  [in Japanese] Laryngeal Cleft : Report of a Case Associated with Esophageal Atresia, Imperforate Anus and Accessory Ear  [in Japanese]

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Abstract

喉頭裂は喉頭気管食道裂の一分症であり,極めて稀な先天奇形である。今回われわれは先天性食道閉鎖症,鎖肛,副耳を伴った喉頭裂を経験したので報告する。<br>本症例は生後間もなくより嗄声と軽度の誤嚥を認めており,精査目的のため満6カ月時に耳鼻咽喉科外来を受診した。喉頭内視鏡,下咽頭・食道透視の結果,喉頭裂II型(Benjamin-Inglis分類)との診断に至った。当初より呼吸器症状が比較的軽度であり,徐々に改善傾向にあったため,現在に至るまで手術は行わず経過観察中である。<br>本症例の経過は,喉頭裂に伴う呼吸器症状が成長とともに改善が見込めることを示唆している。

Cleft larynx, which is a mild type of laryngotracheoesophageal cleft, has been thought to be extremely rare. A case of cleft larynx, with esophageal atresia, inperforate anus and accessory ear, is reported.<br>The patient showed dysphagia and stridor following normal gestation and birth. After repair of the esophageal atresia, she still suffered from stridor. At 6 months, she was referred to our Department of Otolaryngology, and laryngoscopy and X-ray study revealed a type II laryngotracheoesophageal cleft classified by Benjamin-Inglis.<br>Since the patient did not suffer from aspiration and the stridor was disappeared gradually in about one year, she was followed for 4 years without any surgical intervention.<br>It is a matter of course that the life-threatening aspiration due to cleft larynx requires surgical intervention. However, even though a laryngeal cleft exists, surgical repair is not always necessary when laryngeal function is fully compensated, as in this case.

Journal

  • Nihon Kikan Shokudoka Gakkai Kaiho

    Nihon Kikan Shokudoka Gakkai Kaiho 53(3), 271-274, 2002-06-10

    The Japan Broncho-esophagological Society

References:  13

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008579635
  • NII NACSIS-CAT ID (NCID)
    AN00187474
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00290645
  • Data Source
    CJP  CJPref  J-STAGE 
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