선천성 후두 폐쇄증
Congenital Laryngeal Atresia
서연림, 김상윤, 장우현,
소속 상세정보
서연림 ( )
서울대학교 의과대학 병리학교실
김상윤 ( )
서울대학교 의과대학 병리학교실
장우현 ( )
서울대학교 의과대학 병리학교실
KMID : 0357919860200020209
Abstract
Atresia of larynx is a rare fatal anomaly that should bring an immediate medical
attention for proper managenent.
We reported a case who died in neonatal period because of respirator difficulty His
first problem was difficulty of inserting tracheal tube through the larynx. It was of
interest in this case that he was presented with generalized edema and also massive
lung edema. The lung was characterized by total absence of squamous and amniotic
debris in the alveolar spaces and massive inflation of the alveoli by clear fluid that was
thought to be amniotic fouid produced by the lung perse. Because there was no
connection between oral cavity and the lungs, there would be no way the amniotic fluid
outside the fetus.
The laryngeal atresia was of infraglottic type and was complete with dispalced cricoid
cartilage. Associated anomalies were left persistent superior vena cava, perimembranous
ventricular septal defect, spina bifida and focal cerebellar heterotopia.
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