Novel Suture Technique for Slide Tracheoplasty for the Treatment of Long-Segment Tracheal Stenosis

Hobbs, Reilly D.; Moon, Jiyong; Murala, John Santosh Kumar

doi:10.1053/j.semtcvs.2019.11.001

Cited by 8 publications

(8 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After screening for duplicates and relevance in titles and abstracts, only 79 studies were deemed qualified for the full‐text assessment, of which 54 studies were excluded (Supporting Table 2). Eventually, this systematic review was based on 25 studies 10–34 . The flowchart depicting the search strategy is shown in Figure 2.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies reported associated pulmonary malformations including pulmonary agenesis, single-lung anomaly, and tracheobronchial arborization. 12,15,[23][24][25][27][28][29][30][31][32]34 In most cases, slide tracheoplasty was performed via a median sternotomy. However, in four studies slide tracheoplasty was performed through a cervical or a cervicomediastinal incision.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Slide Tracheoplasty for Congenital Tracheal Stenosis Repair: A Systematic Review and Meta‐Analysis

Wang

Dai

et al. 2021

The Laryngoscope

View full text Add to dashboard Cite

Objectives: Congenital tracheal stenosis (CTS) is a rare but life-threatening condition in children. At present, slide tracheoplasty has been advocated as the preferred technique for most cases of CTS. However, the morbidity and mortality subsequent to slide tracheoplasty need further elaboration. Therefore, a meta-analysis was performed on the outcomes of slide tracheoplasty in children with CTS.Study Design: Systematic review and meta-analysis. Methods: Electronic databases, including PubMed, Embase, and Cochrane Library CENTRAL, were systematically searched for the period from January 1990 to March 2021 for literature that reported clinical outcomes of slide tracheoplasty for children with CTS. Meta-regression and subgroup analyses were performed to determine the risk factors for in-hospital mortality and airway reinterventions.Results: A total of 25 studies involving 577 patients were included. For children with CTS, in-hospital and overall mortality after slide tracheoplasty was 6.1% (95% CI = 4.2%-8.0%) and 9.7% (95% CI = 7.3%-12.1%), respectively. The incidence of airway reinterventions was 23.0% (95% CI = 15.6%-30.5%). The length of postoperative ventilation and hospital stay was 6.8 days (95% CI = 5.1-8.4 days) and 19.2 days (95% CI = 15.8-22.7 days), respectively. Postoperative complications occurred in 46.6% (95% CI = 35.8%-57.4%) of all patients. Meta-regression analysis showed that a higher proportion of the recently published studies reported significantly better in-hospital survival (coefficient À0.011, P = .021).Conclusions: In conclusion, in-hospital mortality after slide tracheoplasty is 6.1%, and the incidence of airway reinterventions is 23.0%. In-hospital mortality after slide tracheoplasty has decreased chronologically.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Slide Tracheoplasty for Congenital Tracheal Stenosis Repair: A Systematic Review and Meta‐Analysis

Wang

Dai

et al. 2021

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…10,11 The other most commonly reported difference in technique is suture type and placement fashion. 12 Due to the scarcity of cases and heterogeneous patient population, it is difficult to directly compare techniques and to study outcomes in slide tracheoplasty. Current slide tracheoplasty outcomes evidence comes predominantly from case series.…”

Section: Introductionmentioning

confidence: 99%

“…The main variation was described in 2012 by de Alarcon and Rutter and involves a beveled tracheal transection incision as opposed to the classically described straight incision 10,11 . The other most commonly reported difference in technique is suture type and placement fashion 12 …”

Section: Introductionmentioning

confidence: 99%

Comparison of Slide Tracheoplasty Technique on Postoperative Anatomic Outcomes in Three‐Dimensional Printed Models

et al. 2021

View full text Add to dashboard Cite

Objectives/Hypothesis We hypothesized that the use of three‐dimensional (3D) printed tracheal models to reproducibly simulate surgical technique variations in slide tracheoplasty would demonstrate the quantitative impact of surgical variables on postoperative tracheal dimensions. Study Design Prospective analysis of three‐dimensional printed surgical simulation models. Methods Slide tracheoplasty was performed on 3D printed long segment tracheal stenosis models with combinations of tracheal transection incision angle (90°, 45° beveled superior to inferior, 45° beveled inferior to superior) and tracheal transection location relative to the stenosis (at midpoint, 2 mm each superior and inferior to midpoint). Postoperative computed tomography (CT) scans measured changes in tracheal length, volume, and cross‐sectional area compared to controls. Statistical analysis was performed using one‐way analysis of variance and unpaired two‐tailed t‐tests. Results Slide tracheoplasty yielded 27 reconstructed tracheas. On average, slide tracheoplasty reduced total tracheal length by 36%. Beveled tracheal incisions yielded 9.5% longer final tracheas than straight transection incisions (P < .0001). Cross‐sectional area at the stenosis midpoint increased from 9.0 mm2 to 45 mm2 but did not vary with technique (P > .05). Total tracheal luminal volume increased from 900 mm3 to 1378 mm3 overall and was largest with beveled incisions (P = .03). More material was discarded with straight incisions compared to beveled (89 mg vs. 19 mg, P < .0001). Conclusions Beveled tracheal transection incisions resulted in increased tracheal length, longer anastomotic segments, increased volume, and reduced tissue waste as compared to straight incisions. Offsetting the incision from the midpoint of stenosis did not significantly affect reconstructed tracheal morphology. Using 3D printed models for surgical simulation can be helpful for the quantitative study of the effect isolated surgical variables on technical outcomes. Level of Evidence 3 Laryngoscope, 132:1306–1312, 2022

show abstract

“…A review of the literature reveals several case series of patients undergoing open heart and tracheal surgery; however, the majority of these reports are focused on surgical technique and outcomes rather than on the preoperative workup and inclusion criteria for intervention. 4 In summary, this article is an important first step toward improving the care of children with congenital heart and airway anomalies. This patient population is a complex group of patients who likely will always be at elevated operative risk.…”

mentioning

confidence: 99%

Commentary: Congenital heart disease patients with airway anomalies do worse: We knew that, or so we thought

Hobbs

2021

The Journal of Thoracic and Cardiovascular Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

Novel Suture Technique for Slide Tracheoplasty for the Treatment of Long-Segment Tracheal Stenosis

Cited by 8 publications

References 13 publications

Slide Tracheoplasty for Congenital Tracheal Stenosis Repair: A Systematic Review and Meta‐Analysis

Slide Tracheoplasty for Congenital Tracheal Stenosis Repair: A Systematic Review and Meta‐Analysis

Comparison of Slide Tracheoplasty Technique on Postoperative Anatomic Outcomes in Three‐Dimensional Printed Models

Commentary: Congenital heart disease patients with airway anomalies do worse: We knew that, or so we thought

Contact Info

Product

Resources

About