Management of Distal Tracheal Stenosis

Abstract

Correction of short-segment (<5 rings) tracheal stenosis by resection and reanastomosis of the trachea with the aid of cardiopulmonary bypass and early weaning of ventilatory support is recommended. Tracheoplasty using either the castellation technique or slide tracheoplasty is recommended in the treatment of infants with severe (long segment) tracheal stenosis.

Evolution of Surgical Approaches in the Management of Congenital Tracheal Stenosis

“…22,[28][29][30] Several series have demonstrated excellent outcomes using tracheal resection in selected patients with short-segment tracheal stenosis, with a global morality rate of less than 9%. 28,31,32 Our results support the use of tracheal resection and primary anastomosis in patients with discreet short-segment CTS. Of the ten patients who underwent tracheal resection, there was one in-hospital death, while only two patients required postoperative endoscopic reintervention for airway restenosis.…”

Management of congenital tracheal stenosis by means of slide tracheoplasty or resection and reconstruction, with long-term follow-up of growth after slide tracheoplasty

“…Slide tracheoplasty is gaining acceptance. 16,[23][24][25][26][27][28][29][30] Although most are reports of 1 or 2 patients, overall mortality, including this series, is 9% (Table 3).…”

Advances in Surgery for Congenital Tracheal Stenosis

“…Other complications such as necrosis or collapse of the patch may occur. 6,19,20 Although several studies claimed that the prevalence of granulation tissue is less frequent than expected, 14,17 in our experience all three patients who received peri-cardial patch tracheoplasty developed troublesome granulation tissue. Among these patients, two died of persistent respiratory acidosis caused by granulation tissue.…”