Outcomes of slide tracheoplasty in 101 children: A 17-year single-center experience

Abstract

STP is a versatile and reliable technique associated with low morbidity and mortality when compared with previous strategies for children with long segment tracheal stenosis. The presence of preoperative bronchomalacia is a significant risk factor for death and postoperative stenting.

Tracheal and bronchial stenoses and other obstructive conditions

“…Stenting was required in 21.8%, mainly in patients with preoperative bronchomalacia. The mortality rate was 11.8%, and bronchomalacia and the need of preoperative ECMO were associated with this outcome (2).…”

“…They are usually an extension of CTRs. Butler et al reported that 23.7% of their patients with CTRs have extension of the stenosis into one or both bronchi (2).…”

“…Other congenital malformations as well as acquired lesions are also encountered (1). Children with congenital tracheal or bronchial stenosis are frequently complex and can present with concurrent anomalies, including pulmonary artery sling, ventricular septal defects, lung hypoplasia, lung agenesis, and gastrointestinal defects (2,3).…”

Extracorporeal support in airway surgery

“…In order to avoid mechanical ventilation, CPB or ECMO can be utilized. Traditionally, surgical corrections of the airways (e.g., slide tracheoplasties) have been performed using a heart-lung machine and full heparinization (66,67). The reason for this might be © Journal of Thoracic Disease.…”

Operative or non-operative treatment of congenital tracheal stenosis: is there something new?

“…Surgical treatment of CTS has evolved considerably for the last two decades and slide tracheoplasty, on cardiopulmonary bypass, has emerged as the "gold standard" technique (2,5,9,10). Increasing experience with this procedure has dramatically improved the outcomes of CTS, in contrast to what Hong et al (1) describe in their article.…”