Esophageal atresia and tracheoesophageal fistula: association with chondromalacia of the larynx and upper trachea.

Abstract

Within the past 20 years, the outlook for infants with esophageal atresia and tracheoesophageal fistula has changed from one of complete hopelessness to hopefulness, with an anticipated cure in approximately 85% of otherwise normal infants. Serious associated anomalies may be expected in approximately one-third of all cases, however, and their early recognition and treatment are of paramount and obvious importance. The following case is believed to be the first reported patient with esophageal atresia associated with chondromalacia. The clinical significance of this complication is immediately apparent to all acquainted with the clinical picture and course of the two conditions. Report of Case A 7 lb. 2 oz. female infant, who was delivered on Jan. 12, 1958, appeared to be entirely normal at birth. Excessive mucus was noted within the first hour of life. An attempt to pass a catheter into the stomach was unsuccessful. The baby had several cyanotic