We describe the management of laryngotracheo-oesophageal cleft Type III using a bifurcated endobronchial tube. When the cleft was opened for repair, we were able to obtain effective control of the airway, which is the main problem in this rare congenital anomaly. Commercial tubes are not available, so we made the tube on the day of surgery, immediately before operation.
Stratifying by stage the residual tumour (OR=2.4; p=0.0001) , age (OR=1.9 P=0.0001), and the performance status (OR=1.2; p=0.03) resulted as independent survival prognostic factors according to Cox multivariate analysis. Conclusion* Our data suggest that patients aged !70 can tolerate radical surgical treatments in the same way as younger patients without a significant increase in morbidity and, obviously, without ignoring the appropriate geriatric precautions. Furthermore, maximal surgical effort with optimal cytoreduction should be considered the gold standard regardless of age.Therefore, our data underlines the importance of managing these patients within Gynecologic Oncology units equipped with a multidisciplinary team.
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