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Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report

Raja Lope Ahmad, Raja Ahmad Al'konee and Abdullah, Kahairi and Mokhtar, Lukman and Fadzil, Ahmad (2009) Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report. Journal of Medical Case Reports, 3. 105-(3). ISSN 1752-1947

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Abstract

Introduction: Tracheal agenesis is a very rare congenital airway anomaly. It may pose a great challenge to the first attending physician both in diagnosis and in establishing the airway during the first day of life. Case presentation: We report a newborn Malay baby boy with trachea agenesis (type III by Floyd's classification) who presented with severe respiratory distress immediately after birth. Clinical diagnosis in this case was not straightforward, as it started with difficulty in intubation followed by an unsuccessful emergency tracheostomy in the neonatal intensive care unit. Urgent surgical neck exploration with endoscopic examination in the general operating theatre revealed the final diagnosis. The authors present a short description of the embryopathology and diagnostic criteria of the abnormality. Conclusion: We hope this case presentation will be valuable in increasing the awareness of physicians about this rare cause of tracheal obstruction or difficult intubation.

Item Type: Article (Journal)
Additional Information: 3641/1023
Uncontrolled Keywords: tracheal agenesis, newborn, respiratory distress
Subjects: R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes: Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery
Kulliyyah of Medicine > Department of Paediatrics
Depositing User: Mrs. Wan Salwati Wan Salleh
Date Deposited: 18 Jul 2011 14:17
Last Modified: 20 Oct 2016 15:23
URI: http://irep.iium.edu.my/id/eprint/1023

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