Practical safety in the diagnosis and treatment of congenital isolated tracheoesophageal fistula

  • Authors:
    • Radu-Iulian Spataru
    • Dan-Alexandru Iozsa
    • Mircea Ovidiu Denis Lupusoru
    • Dragos Serban
    • Catalin Cirstoveanu
  • View Affiliations

  • Published online on: March 23, 2021     https://doi.org/10.3892/etm.2021.9970
  • Article Number: 537
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Abstract

The rareness of H‑type tracheoesophageal fistula in conjunction with its unspecific clinical presentation and wide range of anatomical presentation makes its diagnosis and treatment a problematic topic for both ear, nose and throat (ENT) specialists and pediatric surgeons worldwide. Symptoms and clinical signs of H‑TOF are easily misleading. Diagnostic methods, most of the times, are dependent on the physician's experience; therefore, various errors may be made. We analyzed our experience in managing H‑TOF cases over the last 15 years. Advice and strategies of action for health professionals directly involved in the diagnosis and treatment were identified, but also errors and mistakes while managing 6 cases. We analyzed ‘red flags’ but also important steps in the practical safety concerning this rare congenital malformation. Choosing the surgical access for division of the fistula throughout the cervical or thoracic approach is sometimes difficult. A scrupulous perioperative planning is mandatory. A dynamic overview of the patient's presentation never underestimating the subtlety of H‑TOF presentation should be conducted for its early recognition and achieving best outcomes.
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May-2021
Volume 21 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Spataru R, Iozsa D, Lupusoru MO, Serban D and Cirstoveanu C: Practical safety in the diagnosis and treatment of congenital isolated tracheoesophageal fistula. Exp Ther Med 21: 537, 2021
APA
Spataru, R., Iozsa, D., Lupusoru, M.O., Serban, D., & Cirstoveanu, C. (2021). Practical safety in the diagnosis and treatment of congenital isolated tracheoesophageal fistula. Experimental and Therapeutic Medicine, 21, 537. https://doi.org/10.3892/etm.2021.9970
MLA
Spataru, R., Iozsa, D., Lupusoru, M. O., Serban, D., Cirstoveanu, C."Practical safety in the diagnosis and treatment of congenital isolated tracheoesophageal fistula". Experimental and Therapeutic Medicine 21.5 (2021): 537.
Chicago
Spataru, R., Iozsa, D., Lupusoru, M. O., Serban, D., Cirstoveanu, C."Practical safety in the diagnosis and treatment of congenital isolated tracheoesophageal fistula". Experimental and Therapeutic Medicine 21, no. 5 (2021): 537. https://doi.org/10.3892/etm.2021.9970