Repair of Long-segment Congenital Tracheal Stenosis

نویسندگان

  • Ji-Hyuk Yang
  • Tae-Gook Jun
  • Kiick Sung
  • Jin Ho Choi
  • Young Tak Lee
  • Pyo Won Park
چکیده

Long-segment tracheal stenosis in infants and small children is difficult to manage and can be life-threatening. A retrospective review of 12 patients who underwent surgery for congenital tracheal stenosis between 1996 and 2004 was conducted. The patients' median age was 3.6 months. All patients had diffuse tracheal stenosis involving 40-61% (median, 50%) of the length of the trachea, which was suspected to be associated with complete tracheal ring. Five patients had proximal bronchial stenosis also. Ten patients had associated cardiac anomalies. Three different techniques were performed; pericardial patch tracheoplasty (n=4), tracheal autograft tracheoplasty (n=6), and slide tracheoplasty (n=2). After pericardial tracheoplasty, there were 2 early and 2 late deaths. All patients survived after autograft and slide tracheoplasty except one who died of pneumonia one year after the autograft tracheoplasty. The duration of ventilator support was 6-40 days after autograft and 6-7 days after slide tracheoplasty. The duration of hospital stay was 13-266 days after autograft and 19-21 days after slide tracheoplasty. Repeated bronchoscopic examinations were required after pericardial and autograft tracheoplasty. These data demonstrate that pericardial patch tracheoplasty show poor results, whereas autograft or slide tracheoplasty gives excellent short- and long-term results.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Costal cartilage tracheoplasty for congenital long-segment tracheal stenosis.

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 ...

متن کامل

Management of distal tracheal stenosis.

OBJECTIVE To evaluate the treatment, perioperative management, and outcome of infants who underwent repair of congenital tracheal stenosis. We hypothesized that early resection and tracheoplasty with early weaning of ventilatory support results in less mucosal injury, and thus better outcome. DESIGN Retrospective study from 1986 to 1996. SETTING Tertiary care children's hospital. PATIENTS...

متن کامل

Pediatric Tracheal Stenosis and Vascular Rings Çocuklarda Trakeal Stenoz Ve Vasküler Halkalar

Pediatric tracheal stenosis includes a variety of entities characterized by a diminished airway lumen. Congenital entities can be classified into (i) intrinsic disease caused by short(e.g. tracheal webs) or long-segment forms of tracheal stenosis (e.g. tracheal atresia/agenesis and primary tracheomalacia) and (ii) extrinsic disease caused by cardiovascular anomalies such as vascular rings and/o...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 22  شماره 

صفحات  -

تاریخ انتشار 2007