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Congenital High Airway Obstruction Syndrome Treatment

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Congenital High Airway Obstruction Syndrome Treatment

Congenital High Airway Obstruction Syndrome Treatment

In Congenital High Airway Obstruction Syndrome (CHAOS),  fetal upper airways get harmed, in a specific area, or in an entire area. The diaphragm becomes flat and laryngeal cyst is responsible for this.

CHAOS or Congenital High Airway Obstruction Syndrome is an uncommon disorder, which blocks the larynx and trachea of a child. Mostly seen in children which are in their mother's womb, in CHAOS lungs of a baby becomes very crucial and this is one of the causes of infant death worldwide, according to Centres for Diseases and birth control and prevention. Mostly there are 2 types of CHAOS

1. Laryngeal atresia with tracheo-oesophagal fistula.

2. Laryngeal Atresia without oesophagal fistula.

Symptoms

A baby with CHAOS has so many medical problems, and may show these signs before birth or soon after the birth :

  • Downward force in breathing muscles
  • Instead of the left side, the heart slowly shifts towards the center.
  • Fluid increases in the body
  • Heart constriction
  • Chest swelling

Getting prompt and proper prenatal treatment can significantly reduce the chances of Congenital High Airway Obstructive Syndrome and improves the baby's overall health.

Causes

The actual reason is still hidden. But some predictions say CHAOS has something to do with genes and genetic problems just like Fraser's syndrome.

More about Treatment

HOW CHAOS OCCURS?

When the size of the lungs abnormally increases because of the fluid addition, it directly puts pressure on the heart by making it small and the heart’s compression generates difficulty in breathing. Fluid in the lungs can spread in other areas of the body also and when the heart stops functioning, it leads to hydrops i.e. heart failure.

HOW  DANGEROUS IS CHAOS?

Congenital High Airway Obstruction Syndrome is a very dangerous and scary disease. Its seriousness depends on factors like the blockage area, the severity of the damaged area, etc. If the blockage is in a small area then treatments can help to prevent it from further damage but if the whole area is affected then heart failure can occur for sure.

TREATMENTS FOR CHAOS 

On the basis of the baby’s breathing, doctors suggest different ways of  treatment to the mother such as :

EXIT ( Ex Utero Intrapartum Treatment) -  Doctors and health providers ensure a safe delivery and a proper oxygen to the child. So cesarean is done and partial delivery happens when the baby's head and neck are delivered via the uterus and the rest of the body stays attached with the placenta and oxygen is delivered through the umbilical cord. 

The remaining procedure could be done in two ways :

  1. Either by placing a camera near the baby's mouth to see the condition of the airways by attaching an airway tube.
  2.  If the mouth is an inconvenient option, then doctors put an incision in the neck area and put the airway tube directly in the windpipe, below the windpipe to provide sufficient oxygen to the baby.

ECMO - Extracorporeal Membrane Oxygenation is a heart-lung bypass machine that works equally on the heart and lungs.

These two are the most reliable and most chosen treatments. But if none of these suits you, talk to your doctor as a doctor may be able to suggest additional options that can help lower the risk of CHAOS.

DIAGNOSIS OF CHAOS 

Based on observable symptoms, doctors undergo some tests to help the patient's mother know more about Congenital High Airway Obstruction Syndrome.

For example, they may order :

An MRI (Magnetic Resonance Scan) to get an idea about the airway in the form of a picture and to measure the level of obstruction in the airway. 

Fetal Echocardiogram -  To monitor the heart’s functioning 

Amniocentesis - It can detect the chromosomal disorder and indicates other risks present in the screen test. 

Level 2 Ultrasound - Examines the overall airway.

After doing these tests, your doctor might recommend your genetic counselor to know in detail about gene-related family history and whether genes are doing all these or not.

 

FAQ

1. HOW TO MANAGE THE COMPLICATIONS OF CHAOS?

  1. See the doctor for frequent checkups and continuous fetal ultrasound can give internal updates such as change in symptoms.
  2. Amnioreduction should be done on most days of the week.
  3. Be in contact with a pediatric surgeon and ask queries if you have any.

2. WHAT TO DO AFTER BABY’S BIRTH IN CHAOS?

The baby will be kept in a separate advanced room and their doctor will check the entire body’s activities especially heart and lungs, breathing process, total fluid content, baby’s nutrition,  everything is observed during this period.

Baby can go home but he/she has to pass some tests, then only the doctor can allow it.

Such as : 

  1. Normal breathing
  2. Increase in weight
  3. Proper food intake via mouth or tube
  4. The body’s temperature should stay norma

3. SURVIVAL RATES IN CHAOS :

Though this condition is very rare, doctors are working on research and information and trying all the ways for the airway. But still survival rates depends on :

  1. Gestational age
  2. The severity of the symptoms 

But excellent prenatal and postnatal care, diagnosis, and on time treatment can help achieve good results and increase the baby’s survival rate and overall health.

Top Doctors For Congenital High Airway Obstruction Syndrome Treatment Treatment

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Dr. Mahesh Janarthanan Pediatrics | Gender: Male | Experience: 6 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. Vidya Krishna Pediatrics | Gender: Female | Experience: 11 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. P. Venkatraman Pediatrics | Gender: Male | Experience: 30 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. S. Elayaraja Pediatrics | Gender: Male | Experience: 10 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. P. N. Vinoth Pediatrics | Gender: Male | Experience: 7 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. Saji James Pediatrics | Gender: Male | Experience: 17 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. P. S. Rajakumar Pediatrics | Gender: Male | Experience: 10 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. Latha Ravichandran Pediatrics | Gender: Female | Experience: 23 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. S. Shuba Pediatrics | Gender: Female | Experience: 18 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. P. Anitha Pediatrics | Gender: Female | Experience: 5 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. Abhishek Kulkarni Pediatrics | Gender: Male | Experience: 10 years | Hospital: Narayana Hospital
Mr. C. R. Satish Kumar Pediatrics | Gender: Male | Experience: 10 years | Hospital: Manipal Hospitals, Bengaluru
Dr. A. Sivagnanam Pediatrics | Gender: Female | Experience: 10 years | Hospital: Manipal Hospitals, Bengaluru
Dr. Anuradha Vinod Pediatrics | Gender: Female | Experience: 10 years | Hospital: Manipal Hospitals, Bengaluru
Dr. Gursev Sandlas Pediatrics | Gender: Male | Experience: 10 years | Hospital: Kokilaben Dhirubhai Ambani Hospital
Dr. Hariram Pediatrics | Gender: Male | Experience: 30 years | Hospital: Fortis Hospital, Bengaluru
Dr. Deepa Sharma Pediatrics | Gender: Female | Experience: 20 years | Hospital: Apollo Indraprastha
Dr. Anupam Sibal Pediatrics | Gender: Male | Experience: 23 years | Hospital: Apollo Indraprastha
Dr. Gülen Usanmaz Pediatrics | Gender: Female | Experience: 10 years | Hospital: Hisar Intercontinental
Dr. Gülden Kafali Pediatrics | Gender: Female | Experience: 20 years | Hospital: Hisar Intercontinental
Dr. Nuh Duman Pediatrics | Gender: Male | Experience: 33 years | Hospital: Hisar Intercontinental
Dr. Yunus Nas Pediatrics | Gender: Male | Experience: 28 years | Hospital: Hisar Intercontinental
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Dr. Mufique Gajdhar Pediatrics | Gender: Male | Experience: 10 years | Hospital: Thumbay Hospital, Ajman
Dr. Amira Omer Abdelrahman Pediatrics | Gender: Female | Experience: 13 years | Hospital: Thumbay Hospital, Dubai
Dr. Mamata Bothra Pediatrics | Gender: Female | Experience: 11 years | Hospital: Thumbay Hospital, Dubai
Dr. Fozi Abozaid Dakilah Pediatrics | Gender: Male | Experience: 20 years | Hospital: Thumbay Hospital, Dubai
Dr. Ahmar Shamim Pediatrics | Gender: Male | Experience: 5 years | Hospital: Thumbay Hospital, Dubai
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Dr. Feras Al Hamed Pediatrics | Gender: Male | Experience: 8 years | Hospital: RAK Hospital
Dr. Ahmed Said Ahmed Ateek Pediatrics | Gender: Male | Experience: 40 years | Hospital: RAK Hospital
Dr. Deve Dass Pediatrics | Gender: Male | Experience: 7 years | Hospital: RAK Hospital
Dr. Waseem Ahmed Pediatrics | Gender: Male | Experience: 24 years | Hospital: RAK Hospital
Dr. Sameer Sajwani Pediatrics | Gender: Male | Experience: 25 years | Hospital: Saudi German Hospital
Dr. Mirvat Osman Pediatrics | Gender: Female | Experience: 15 years | Hospital: Saudi German Hospital
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Dr. Amita Mahajan Pediatrics | Gender: Female | Experience: 25 years | Hospital: Apollo Indraprastha

Top Hospitals For Congenital High Airway Obstruction Syndrome Treatment Treatment

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Thumbay Hospital, Dubai With our Hospitals and Medical Centre in Ajman, Fujairah, Sharjah, Dubai and Hyderabad (India), Thum
Maharaja Agrasen Hospital, Bengaluru The Maharaja Agrasen Hospital is located in the heart of Bangalore and is known of its excellence in
Columbia Asia Hospital, Bengaluru Columbia Asia is an international healthcare group operating a chain of modern hospitals across Indi
Gleaneagles Global Hospital, Mumbai Gleneagles Global Hospital, Mumbai offers end-to-end clinical, surgical and diagnostic services. The
Primus Super Speciality Hospital, Delhi Primus Super Speciality Hospital is a state of the art multi specialty hospital,conveniently located
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