Journal article
Double H-type tracheoesophageal fistula
SP Tan Tanny, SK King, TI Omari, WJ Teague
Journal of Pediatric Surgery Case Reports | ELSEVIER | Published : 2020
Open access
Abstract
Congenital ‘isolated’ tracheoesophageal fistula (TEF) is a rare variant of esophageal atresia, also termed H-type TEF. Even rarer is a double H-type TEF. Here, we report a two-week-old female, with double H-type TEF – one identified pre-operatively, the other during surgery. Pre-operative laryngotracheobronchoscopy (LTB) with guidewire cannulation is considered key to definitive TEF repair, to aid in both pre- and intra-operative identification of the fistula(e). In our experience, only one H-type TEF was identified at the planned pre-operative LTB, with the second H-type fistula identified at the time of cervical dissection. Both fistulae were repaired during the same operation, via cervica..
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Awarded by Royal Children's Hospital Foundation
Funding Acknowledgements
Dr Sharman Tan Tanny is supported by a National Health and Medical Research Council (NHMRC) Medical Research Postgraduate Scholarship [1168142], a Clifford Family PhD Scholarship, and an Australian Government Research Training Program Scholarship. Professor Taher Omari holds a National Health and Medical Research Council Senior Research Fellowship. The development of the swallowga teway.com website was supported by grants from the College of Medicine and Public Health, Flinders University. Associate Professor Warwick Teague's and Associate Professor Sebastian King's positions as Academic Paediatric Surgeons are generously supported by The Royal Children's Hospital Foundation.