Clinical outcomes of slide tracheoplasty in congenital tracheal stenosis†

Abstract

Based on this study, slide tracheoplasty seems to be an effective technique for CTS. However, shortening of the trachea after reconstruction may give rise to recurrent obstruction.

Safety and postoperative adverse events in pediatric airway reconstruction: Analysis of ACS‐NSQIP‐P 30‐day outcomes

“…Whereas this study did not focus on readmission or specific complications, the authors did note a return to the operating room for balloon stenting in 44.6% of the patients and a need for stenting in 21.8% of patients. In two smaller cohorts of patients undergoing tracheoplasty, high rates of multiple surgeries were also noted, which is consistent with the data presented in the current study . Because the natural history of airway stenosis is such that scarring, edema, or inflammation would recur in the majority of cases, reoperation would be an expected or planned event timed specifically to the patient's needs.…”

“…In two smaller cohorts of patients undergoing tracheoplasty, high rates of multiple surgeries were also noted, which is consistent with the data presented in the current study. 21,22 Because the natural history of airway stenosis is such that scarring, edema, or inflammation would recur in the majority of cases, reoperation would be an expected or planned event timed specifically to the patient's needs. As such, there may be some exaggeration with how adverse events are calculated in ACS-NSQIP-P in the setting of airway reconstructive surgery, reoperation does not signify complication of the initial procedure.…”

Complicated Postoperative Course after Pulmonary Artery Sling Repair and Slide Tracheoplasty

“…It is not rare, as in our case, that intubation and mechanical ventilation is required (5, 7, 8). Surgical management is curative and consists of reimplantation of the LPA and tracheoplasty.…”

“…The growth of the larynx with age and the increased airway geometry spontaneously corrects this problem. The nerve and vocal cord recovery may take 6 months to several years (7). …”

Clinical equivalency of cardiopulmonary bypass and extracorporeal membrane oxygenation support for pediatric tracheal reconstruction

“…CPB has been historically used as the standard method for intra-operative respiratory support during complicated pediatric tracheal surgeries [4][5][6]. However, in recent years, ECMO is increasingly being used [7][8][9][10].…”