Type IV laryngo-tracheo-esophageal cleft with CPAM in a preterm twin- a case report - Takeaways - MDSpire

Type IV laryngo-tracheo-esophageal cleft with CPAM in a preterm twin- a case report

  • By

  • Chee Mun Chan

  • Palaniappan Janaki Abirami

  • Agnihotri Biswas

  • Khadijah Binti Abdul Kader

  • July 15, 2026

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  • 1

    Type IV laryngo-tracheo-esophageal cleft (LTEC) is a rare congenital anomaly with high mortality and morbidity rates.

  • 2

    A preterm neonate presented with Type IV LTEC and congenital pulmonary airway malformation (CPAM) detected via antenatal ultrasound.

  • 3

    Direct laryngoscopy revealed a common tracheoesophageal lumen and absent posterior tracheal wall, confirming the Type IV LTEC diagnosis.

  • 4

    Surgical repair was deemed high risk due to the severity of the cleft and associated anomalies, leading to a focus on palliative care.

  • 5

    The case highlights the challenges of antenatal diagnosis of Type IV LTEC, especially when accompanied by other foregut anomalies.

Original Source(s)

Type IV laryngo-tracheo-esophageal cleft with CPAM in a preterm twin- a case report

  • by Chee Mun Chan, Palaniappan Janaki Abirami, Agnihotri Biswas, Khadijah Binti Abdul Kader

  • July 15, 2026

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