Surgical management of tracheal agenesis

Jejunal Pedicle Graft Reconstruction of the Esophagus in a Child with Tracheal Agenesis

“…There have been only four cases, including the present case, that underwent esophageal reconstruction. Esophageal reconstruction was performed using a gastric tube, 4 a colonic interposition graft, 7 an elongated native esophagus, 5 and a jejunal pedicle graft. There is no standard method to reconstruct the alimentary tract in patients with tracheal agenesis.…”

Tracheal Agenesis: Report of Three Cases and Review of the Literature

“…So far, long-term survival with corrective surgery has been achieved in three children with very short tracheal atresia. In 1994, Hiyama et al 6 described a case of Floyd type II tracheal agenesis that was managed successfully by esophageal ligation, gastrostomy, and esophageal intubation. At 9 months of age, a long T-tube was placed in the esophagus, enabling the infant to breathe room air and later to speak by closing the orifice of the Ttube.…”

Tracheal Agenesis in Newborns

“…The child remained alive at age 4 years, but further follow-up has not been published. 12 The second infant presented with type I TA. She was similarly managed with a diverting pharyngostomy, lower esophageal banding, and intubation through a cervical esophagostomy.…”

“…Esophageal diversion followed by reconstruction with colonic interposition or gastric pull-up has already been demonstrated to be feasible. 12 However, at present, there is no suitable autologous tissue to assume the function of the normal trachea with its rigid cartilaginous framework. Tracheal allografts had mixed success in treating long-segment tracheal stenosis in pediatric patients and, to date, has not even been attempted for complete TA.…”