Airway implications of congenital sternal agenesis.

Abstract:

:Congenital agenesis of the sternum is an extremely unusual malformation rarely encountered by the practicing Otolaryngologist. It typically arises in conjunction with other midline ventral congenital anomalies, including abdominal, diaphragmatic, and cardiac malformations. We report a case series of two patients managed with tracheotomy placement due to prolonged intubation. The first patient was a 63-day-old infant born at 34 weeks gestation with dysmorphic features, cleft lip and palate, and skeletal dysplasia, including absence of the sternum. The second patient was a 31-day-old infant born with ectopic cordis and diaphragmatic hernia. The inadequate closure of the anterior chest wall secondary to manubrium malformation or a variant contributes significantly to a child's inability to generate adequate ventilatory pressures. As a result, airway management must be considered not only to ensure airway patency but also an appropriate physiological environment to allow for adequate air exchange in the lungs.

journal_name

Am J Otolaryngol

authors

Vivero RJ,Fort A,Ruiz JW,Roy S

doi

10.1016/j.amjoto.2009.04.010

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

364-7

issue

5

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(09)00084-2

journal_volume

31

pub_type

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