Case reports of Tracheoesophageal fistula H type

H type tracheoesophageal fistula is a rare presentation. Three female children presented at 7-9 months of age with recurrent respiratory infections, recurrent bouts of pneumonia and failure to thrive. Investigation with bronchoscopy identified saliva in the trachea entering through the fistula in all the three cases suggesting H type tracheoesophageal fistula. For two cases cannulation of the fistulous tract was done before surgery .Through right cervical approach H type tracheo oesophageal fistula was identified and ligated in all the three cases