Vertically Fused Tracheal Cartilage: An Underrecognized Anomaly

Andrew F. Inglis, John Kokesh, Joseph Siebert, Mark A. Richardson

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Anterior vertical fusion of the tracheal cartilages with normal pars membranacea is a rarely described tracheal anomaly. We report four cases of this anomaly, three associated with craniosynostosis syndromes and one with Goldenhar's syndrome. The anomaly was documented at postmortem examination in one case, both endoscopically and at tracheotomy in two cases, and endoscopically in one case. Documentation from gross postmortem photographs, photomicrographs, and intraoperative endoscopic photographs is presented so that the anatomical aspects of this anomaly can be thoroughly understood and recognized. All four newborn patients developed recurrent lower respiratory tract infections, reactive airway disease, and chronically retained secretions attributable to this anomaly. Neither tracheal stenosis nor stridor was encountered. In the three surviving patients, the infections grew less frequent and less severe in later childhood. These observations suggest that this tracheobronchial anomaly may be associated with a variety of craniofacial syndromes and may alter airflow dynamics in a way that predisposes to retained secretions and chronic pulmonary disease. (Arch Otolaryngol Head Neck Surg. 1992;118:436-438).

Original languageEnglish (US)
Pages (from-to)436-438
Number of pages3
JournalArchives of Otolaryngology--Head and Neck Surgery
Issue number4
StatePublished - Apr 1992
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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