Endoscopic posterior graft laryngotracheal reconstruction – our initial experience of surgical technique in six children

Evans, Anna; Bateman, Neil; Thevasagayam, Mahilravi

doi:10.1111/coa.12525

Cited by 1 publication

(6 citation statements)

References 11 publications

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“… 7 , 8 , 9 , 10 , 11 Only Evans et al reported on medical and surgical details of their patients with complications. 12 …”

Section: Resultsmentioning

confidence: 99%

“…Only five studies discussed the management of donor site complications, with intervention in 11 (39.28%) patients including chest tube placement and steroid injection 7–11 . Only Evans et al reported on medical and surgical details of their patients with complications 12 …”

Section: Resultsmentioning

confidence: 99%

“…There were several studies that reported preserving the superficial perichondrium during graft harvest. 7 , 12 , 16 , 18 , 22 , 23 , 24 , 25 Richardson et al used a Beaver blade to incise the superior and inferior edges of the 8th rib to elevate the perichondrium on the posterior side, then left the anterior perichondrium attached to the cartilage graft. 26 Similarly, Evans et al harvested 2 cm of costal cartilage including anterior perichondrium from the eighth or ninth rib on the right side.…”

Section: Discussionmentioning

confidence: 99%

“… 26 Similarly, Evans et al harvested 2 cm of costal cartilage including anterior perichondrium from the eighth or ninth rib on the right side. 12 Provenzano et al found that elevating the perichondrium on the posterior side of the cartilage as it is harvested decreased the risk of pneumothorax. 16 In studies that reported preserving the perichondrium, only 3 cases of infection, 2 cases of pneumothorax, and 0 cases of pleural tear were reported.…”

Section: Discussionmentioning

confidence: 99%

“…The harvest technique may influence the rate of donor site complications. There were several studies that reported preserving the superficial perichondrium during graft harvest 7,12,16,18,22–25 . Richardson et al used a Beaver blade to incise the superior and inferior edges of the 8th rib to elevate the perichondrium on the posterior side, then left the anterior perichondrium attached to the cartilage graft 26 .…”

Section: Discussionmentioning

confidence: 99%

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Complications associated with costal cartilage harvest in pediatric laryngotracheal reconstruction

Lava

Martin

Leonard

et al. 2023

Laryngoscope Investig Oto

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Objective We aimed to determine the rate of complications associated with autologous costal cartilage graft harvest for pediatric laryngotracheal reconstruction (LTR). Secondarily, we sought to identify risk factors associated with the harvest of autologous costal cartilage, as well as evaluate management strategies. Data Sources An electronic database search of Ovid MEDLINE, Ovid EMBASE, and PubMed was completed for articles pertaining to complications in autologous costal cartilage harvest for pediatric LTR. Review Methods This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) 2020 guidelines. The study characteristics, operative information, and patient demographics were collected. The data concerning postoperative complications, risk factors, and management strategies were collected and analyzed for patterns. Results A total of 31 manuscripts representing 745 patients were included for analysis. The reported donor site complications included pneumothorax ( n = 13, 1.74%), pleural tear ( n = 5, 0.67%), infection ( n = 8, 1.07%), and scar‐related problems ( n = 2, 0.26%). There were no reported cases of seroma, persistent pain, or chest wall deformity. Only five studies discussed the management of donor site complications, with intervention in 11 (39.28%) patients including chest tube drainage and steroid injection. Conclusion There is significant variability in the literature regarding complication rates in autologous costal cartilage harvest for pediatric LTR. The incidence of major postoperative complications is low and supports the use of autologous costal cartilage as graft material for pediatric LTR. Level of Evidence NA.

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“… 7 , 8 , 9 , 10 , 11 Only Evans et al reported on medical and surgical details of their patients with complications. 12 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%