Patterns of management of congenital tracheal stenosis

Management of Congenital Tracheal Stenosis

“…In type 3 CTS, a short (2-5 cm) segment of trachea is narrowed in an hourglass fashion. An additional classification system on the basis of functional symptoms was introduced in 2003, 20 classifying CTS as (1) mild-asymptomatic or occasional symptoms; (2) moderate-respiratory symptoms, without respiratory embarrassment; and (3) severe-severe symptoms, including respiratory embarrassment. This system also includes an additional subclassification (A or B) to indicate the presence or absence of associated malformations.…”

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

“…One of the most constant associated anomaly is the left PAS which is present in approximately 50% of cases. Complete tracheal rings are almost inherent to CTS except for other very rare tracheal anomalies like complete tracheal cartilaginous sleeve or corkscrew trachea (3,4) (Figures 1,2). Albeit the aberrant course of the LPA, between the trachea and the esophagus, in its way to the left lung, CTS is generally considered an intrinsic anomaly thus extrinsic vascular compression is probably not responsible for the decreased tracheal lumen.…”

Obstrucción crónica de la vía aérea en la infancia. Causas más frecuentes. Tratamiento quirúrgico y endoscópico

“…En pacientes asintomáticos o con síntomas moderados se aconseja seguir una actitud conservadora. En los casos graves se requiere tratamiento quirúrgico [12,13]. En ciertos casos, la cirugía puede no ser factible por lo que debe evitarse.…”