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June 1967

Congenital H Type TE Fistula in a Young Adult

Author Affiliations

From the Illinois Eye and Ear Infirmary and the Department of Otolaryngology, University of Illinois College of Medicine, Chicago.

Arch Otolaryngol. 1967;85(6):675-679. doi:10.1001/archotol.1967.00760040677015

TRACHEOESOPHAGEAL fistula is a well-recognized entity and is readily diagnosible in its classic form. There are certain rare varieties which, if overlooked in the newborn period, may become manifest in later life, masquerading as chronic lung disease of undetermined etiology. The presentation of a young adult with tracheoesophageal fistula without associated esophageal atresia, exemplifies the problems encountered in the management of tracheoesophageal fistula.

Esophageal atresia with tracheoesophageal fistula was first recorded in 1696 by Thomas Gibson.1,2 It was not until the 1940's that thoracic surgical techniques had progressed to a point where this lesion could be managed adequately. Multistage procedures were successfully performed by Leven (1941) and Ladd (1944), but primary ligation of the fistula and esophageal anastomosis awaited the work of Haight in 1941.1,3 Continued advances in surgical technique and instrumentation have now provided over 60% of these children (without other serious anomalies) the chance for a

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