CONGENITAL ANOMALIES OF THE LARYNX AND TRACHEA
2000; Elsevier BV; Volume: 33; Issue: 1 Linguagem: Inglês
10.1016/s0030-6665(05)70209-7
ISSN1557-8259
Autores Tópico(s)Tumors and Oncological Cases
ResumoThe embryologic development of the chest and airways is complex and errors in prenatal development can lead to an extensive variety of congenital malformations in both the upper and lower respiratory tract. Among these disorders, there is a wide range in the severity of the malformation with some being uniformly fatal while others are more of a nuisance. The prompt diagnosis of these disorders is key in recognizing the problem and working towards a treatment. Many of the disorders of the airways and chest are now diagnosed prenatally with the increasing accuracy of prenatal sonography. Early prenatal diagnosis not only allows for appropriate parental counseling during pregnancy but in some cases allows for prenatal interventions including both in utero interventions and planned ex utero intrapartum treatments (EXIT). For those infants born with disorders of the chest and airways, the interventions to correct these anomalies have become increasingly less invasive. Thoracoscopic and endoscopic techniques have been refined and adapted to address multiple disorders including sequestrations, CPAMS, congenital diaphragmatic hernias and complex chest wall disorders. These minimally invasive techniques have revolutionized the treatment of these disorders and made the surgical intervention on the infant airway and chest less invasive and more tolerable.
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