Costal cartilage tracheoplasty for congenital long-segment tracheal stenosis.
نویسندگان
چکیده
OBJECTIVES To evaluate and report the outcome of costal cartilage tracheoplasty for the treatment of congenital long-segment tracheal stenosis. DESIGN Retrospective chart review. SETTING Academic tertiary care children's hospital. PATIENTS Consecutive series of 10 patients who presented with congenital long-segment tracheal stenosis. INTERVENTION All patients underwent costal cartilage tracheoplasty while receiving cardiopulmonary bypass. MEASUREMENTS Age at repair, weight at repair, length of stenosis, minimal diameter of stenosis, postoperative days receiving ventilator support, postoperative days until discharge, postoperative bronchoscopies, postoperative complications, associated anomalies, survival rate, and current status. RESULTS There were 8 males and 2 females with an average age at repair of 18 weeks. Average weight was 5.2 kg. Average length of stenosis was 3.2 cm, and average minimal diameter was 1.9 mm. Average postoperative days receiving ventilator support was 17 with a median of 9.5. Average postoperative days until discharge was 35.2 with a median of 17. Average postoperative bronchoscopies was 18 with a median of 4.5. There was a 40% major postoperative complication rate. Seven of the patients had associated anomalies. No patient died from an inadequate tracheal airway, though 2 patients ultimately died from other cardiopulmonary complications for a survival rate of 80%. Average time since surgery for survivors is 8.0 years. Two patients still require treatment. Seven of the original 10 patients are fully active without tracheostomy. CONCLUSION We report one of the largest series of costal cartilage tracheoplasty for congenital long-segment tracheal stenosis and one that has met with a relatively high success rate.
منابع مشابه
Long-term follow-up of tracheoplasty using autologous pericardial patch and strips of costal cartilage.
OBJECTIVES To evaluate long-term results of tracheoplasty using autologous pericardial patch and strips of costal cartilage for relieving severe long-segment tracheal stenosis. METHODS Data were collected retrospectively by clinical chart review. Between 1995 and 2013, 21 patients underwent tracheoplasty. Follow-up was performed by outpatient chart review; otherwise, referring physicians and ...
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Yazdanbakhsh et al. [1] report a surgical technique using autologous pericardial patch and strips of costal cartilage for relieving severe tracheal stenosis. Over nearly two decades of experience, 21 patients were treated, with 3 (14%) suffering late postoperative mortality. Seven patients underwent bronchoscopic reintervention and 8 underwent surgical intervention, including 3 sliding tracheop...
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OBJECTIVE Congenital tracheal stenosis (CTS) is a very infrequent malformation. Till recently, the outlook for these patients was dismal because medical management was the only way of treatment. Surgical and endoscopical techniques developed in the last years have improved the prognosis. We review the short- and long-term outcomes of a single institution experience in the management of children...
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ورودعنوان ژورنال:
- Archives of otolaryngology--head & neck surgery
دوره 128 10 شماره
صفحات -
تاریخ انتشار 2002