Slide tracheoplasty has become a standard procedure to treat long-segment congenital tracheal stenosis because it is a reasonable and simple technique. Slide tracheoplasty does not affect the carina during long-segment congenital tracheal stenosis management, and thus lesions of the carina, such as stenosis and tracheobronchomalacia can become important causes of extubation failure after surgery. In this manusript, we describe the effectiveness of our modified slide tracheoplasty, which includes reconstruction of the carina. We have performed this technique on three patients, all of whom were extubated without developing any respiratory symptoms.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jpedsurg.2009.06.018 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Slide Tracheoplasty in Long Segment Tracheobronchial Stenosis.
Ann Thorac Surg
December 2024
Paediatric Cardiothoracic and Tracheal Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Background: Long segmental congenital tracheal and tracheobronchial stenosis are a rare congenital airway anomaly with variable arborizations. This study aims to analyze presentations and outcomes of slide- tracheoplasty in long segmental congenital tracheal and tracheobronchial stenosis with variable arborizations METHODS: Retrospective analysis of all patients underwent slide tracheoplasty between March 1995 to Feb 2023 for long segmental congenital tracheal and tracheobronchial stenosis. Preoperative airway morphology was divided into anatomic types based on the Great Ormond Street Children Hospital Morphological Classification.
View Article and Find Full Text PDFCongenital Tracheal Stenosis With Complete Cartilage Rings: Proposal of A Multidisciplinary and Tailored Surgical Approach.
J Pediatr Surg
December 2024
Division of Pediatric Surgery, Department of Surgery, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genova, Italy; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, DINOGMI, Università di Genova, Largo Paolo Daneo 3, 16132, Genova, Italy; Pediatric Thoracic and Airway Surgery Unit, Department of Surgery, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genova, Italy.
Introduction: Congenital Tracheal Stenosis (CTS) with complete cartilaginous rings is a rare but potentially life-threatening condition in paediatric patients. Currently, the most common approach is slide tracheoplasty (ST) with sternotomy under cardiopulmonary bypass (CPB). Intending to make the procedure less invasive and consider the variety of associated conditions, we have tailored the approach to our patients, who were treated by a multidisciplinary airway team.
View Article and Find Full Text PDFRetrospective analysis of factors contributing to poor prognosis among 271 pediatric patients with tracheal stenosis treated with slide tracheoplasty.
J Thorac Cardiovasc Surg
November 2024
Department of Laboratory Medicine, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China. Electronic address:
Article Synopsis
- The study aimed to identify factors that lead to negative postsurgical outcomes in children with congenital tracheal stenosis (CTS) who underwent slide tracheoplasty (STP).
- It found that conditions like unilateral lung hypoplasia and bilateral bronchomalacia significantly increased the risk of airway complications, mechanical ventilation time, and longer hospital stays.
- Key factors influencing patient survival included weight and tracheal diameter, highlighting the importance of thorough assessment and tailored management for these patients.
Airway Management With Congenital Tracheal Stenosis: Surgical and Anesthetic Consideration.
Laryngoscope
November 2024
The Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Article Synopsis
- The study investigates airway management techniques and demographic data of patients with congenital tracheal stenosis (CTS) during preoperative, intraoperative, and postoperative periods, based on a review of patient charts from a pediatric medical center from 2001 to 2018.
- Out of 148 patients analyzed, the majority had congenital tracheal rings as the cause of their CTS, with a median age of 9 months at surgery and most experiencing 50% to 80% stenosis.
- Findings emphasize the importance of coordinated airway management between surgical and anesthesia teams during slide tracheoplasty, which is shown to be an effective treatment for CTS.
Achieving normal pulmonary function following tracheoplasty in infancy.
Interdiscip Cardiovasc Thorac Surg
September 2024
Department of Respiratory Medicine, Royal Children's Hospital, Melbourne, Australia.
Infant long-segment congenital tracheal stenosis (LTS) is rare and presents a challenging clinical scenario. We describe the management of a child who required extracorporeal membrane oxygenation following a respiratory arrest and underwent slide tracheoplasty in infancy for severe LTS and required repeated bronchoscopic reinterventions for recurrent tracheal granulations. At 9 years of age, the child has normal pulmonary function testing and a normal exercise tolerance.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!