Abstract

Congenital malformations of the respiratory tract is an important issue. They cause more than 100 deaths annually in the Russian Federation. The definition and classification of congenital malformations of the respiratory tract are described and developed by Je. A. Cvetkov. The ultrasound is the primal method used in prenatal diagnosis of congenital malformations of the upper respiratory tract. Starting from the age of 17-23 weeks old, the ultrasound shows the following signs: hyperechoic lungs, dilatation of the lower respiratory tract, flattening of the diaphragm. This ultrasound pattern is typical for Congenital High Airway Obstruction Syndrome (CHAOS). If the doctor suspects an identifying of these signs, a follow-up examination is recommended. If the congenital obstruction of the upper respiratory tract is diagnosed during the pregnancy, the childbirth for patients must be performed in the hospital, where it is possible to perform tracheotomy and artificial ventilation of the lungs to the newborn, to operate him with placental support. This type of surgical treatment by the EXIT method (The ex utero intrapartum treatment procedure) is a new stage in neonatal surgery. A meta-analysis of 15 articles in the foreign literature about the detection of CHAOS from 1993 to 2014 was conducted. The analysis includes studies with more than 5 described cases. The statistics of diagnosis and treatment of congenital malformations of the larynx of patients of the ENT clinic of SPbSPMU for the period from 2003 to 2016 with the diagnosis of congenital malformation of the larynx is presented.

Highlights

  • Врожденные пороки развития дыхательных путей ежегодно становятся причиной смерти более 100 человек в Российской Федерации

  • The ultrasound is the primal method used in prenatal diagnosis of congenital malformations of the upper respiratory tract

  • Starting from the age of 17-23 weeks old, the ultrasound shows the following signs: hyperechoic lungs, dilatation of the lower respiratory tract, flattening of the diaphragm. This ultrasound pattern is typical for Congenital High Airway Obstruction Syndrome (CHAOS)

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Summary

Сроки исследования Time of the study

Адин и др. [9] / Adin et al [9] Аслан и др. / Aslan et al Хедрик и др. [17] / Hedrick et al [17] Гарг и др. [13], Гупта и др. [15], Ёши и др. [18], Чаемсайтхонг и др. [11], Kалaчe и др. [19], Хамид Сощинска и др. [16] / Garg et al [13], Gupta et al [15], Joshi et al [18], Chaemsait-hong et al [11], Kalache et al [19],Hamid-Sowinska et al [16] Гуимар и др. [14] / Guimaraes et al [14] Лим и др. / Lim et al Падманабхан и др. [21] / Padmanabhan et al [21] Саадай и др. / Saadai et al Улкумен и др. [24] / Ulkumen et al [24] Валкер и др. / Walker et al. [15], Ёши и др. [18], Чаемсайтхонг и др. [19], Хамид Сощинска и др. [16] / Garg et al [13], Gupta et al [15], Joshi et al [18], Chaemsait-hong et al [11], Kalache et al [19],Hamid-Sowinska et al [16] Гуимар и др. [21] / Padmanabhan et al [21] Саадай и др. [24] / Ulkumen et al [24] Валкер и др. / Walker et al. Анализ исследований, выявляющих причины, приводящие к возникновению CHAOS Analysis of studies that identify the causes of CHAOS

Не установлено Not clarified
Вид хирургического лечения Type of surgery
Врожденные опухоли Congenital neoplasm
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