{Reference Type}: Case Reports
{Title}: A case of antenatally undiagnosed laryngeal atresia with tracheo-esophageal fistula with airway obstruction at birth and its management.
{Author}: Soni L;Prasad G;Kaur M;
{Journal}: Paediatr Anaesth
{Volume}: 34
{Issue}: 2
{Year}: 2024 02 15
{Factor}: 2.129
{DOI}: 10.1111/pan.14794
{Abstract}: Laryngeal atresia is a rare congenital anomaly that is usually diagnosed by antenatal ultrasound, however, if undiagnosed presents with desaturation after birth. A term neonate presented with airway obstruction after birth with multiple failed attempts at intubation and was rescued by proseal laryngeal mask airway (LMA). An esophagoscopy using an Ambuscope utilizing a modified connector assembly revealed an opening on the anterior wall of the esophagus with no esophageal atresia, leading to a diagnosis of H-type tracheo-esophageal fistula (TEF) with laryngeal atresia. The ability to ventilate the neonate via LMA with an absent glottic opening raised the possibility of TEF.