Surgical outcome of slide tracheoplasty in patients with long congenital segment tracheal stenosis and single lung

Speggiorin, Simone; Torre, Michele; Roebuck, Derek J.; Mclaren, C; Elliott, Martin J.

doi:10.1016/j.ejcts.2011.01.075

Cited by 27 publications

(8 citation statements)

References 12 publications

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“…In our study of children with pulmonary malformations, four of 18 (22.2%) patients died during the study period. This finding is only slightly higher than the rate (14.3%) reported in a series of seven children by Speggiorin and colleagues . However, the difference in mortality between groups in our study, occurred despite similar results in terms of dehiscence, restenosis, figure 8‐eight deformity, and the need for tracheostomy.…”

Section: Discussionmentioning

confidence: 99%

“…In one study (n = 11), Backer et al (2009) reported promising results in terms of mortality (18%) and the avoidance of postoperative tracheostomy; however, they used the slide technique in only three of the 11 patients in their series . Speggiorin and colleagues (2011) published the results of their slide tracheoplasty experience in seven patients with pulmonary agenesis . These authors reported high rates of preoperative ventilation and postoperative extracorporeal membrane oxygenation (ECMO) use, but did not provide comparison to children with normal anatomy or detailed postoperative results.…”

Section: Introductionmentioning

confidence: 99%

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Slide tracheoplasty outcomes in children with congenital pulmonary malformations

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Slide tracheoplasty outcomes in children with congenital pulmonary malformations

et al. 2016

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“…It is characterized by the presence of complete cartilaginous rings along more than two-thirds of the length of the trachea. Very few articles have documented this rare and life-threatening association (7,8). On chest radiography, pulmonary agenesis and aplasia appear as diffuse opacity of one hemithorax, mediastinal shift, and contralateral lung hyperinflation.…”

Section: Lung Agenesis-hypoplasia Complexmentioning

confidence: 96%

Congenital lung malformations: radiological findings and clues for differential diagnosis

García‐Peña¹,

Coma²,

Enriquez³

2013

Acta Radiologica

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Congenital lung malformations encompass a wide spectrum of conditions with a broadly varying clinical presentation. They are often a source of morbidity in infants and children. Their management depends on the type of malformation and its clinical presentation. Usually, the diagnosis requires an imaging evaluation. Classifications of bronchopulmonary malformations have undergone significant revision in recent years and several theories have attempted to explain their confusing pathogenesis. There are considerable degrees of overlapping and hybrid conditions are common, with interrelated malformations showing various radiologic and pathologic features. Attending to the pathophysiological mechanisms and structures involved, lung malformations can be divided into three categories: bronchopulmonary anomalies, combined lung and vascular abnormalities, and vascular anomalies. The purpose of this article is to review the current imaging techniques for evaluating lung malformations in pediatric patients and their characteristic imaging findings. Moreover, this review discusses a useful classification and offers some clues to facilitate the differential diagnosis.

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“…Long segment tracheal stenosis occurs mostly in infants and often manifests with severe symptoms. Tracheal stenosis and tracheomalacia in children are difficult to manage; however, a variety of surgical options are available and the final choice depends mostly on the pediatrician's preference and clinical experience [Myer et al 1994;Jaquiss, 2004;Speggiorin et al 2011]. For nearly 40 years, FFB has been used in the clinical investigation of pediatric airway disorders as a minimally invasive technique.…”

Section: Discussionmentioning

confidence: 99%

Emergency management for congenital tracheal stenosis with endoluminal stenting in pediatric intensive care units

Xing

Ding²,

Liu

et al. 2016

Ther Adv Respir Dis

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Objective: The objective of this study was to share our experience in the management of congenital tracheal stenosis (CTS) using self-expanding intraluminal stents in infants. Methods: From January 2010 to August 2012, 31 infants with CTS treated using stents by bronchoscope in pediatric intensive care units (PICUs) were recruited for this study. Results: Among the 31 patients, 17 were male and 14 were female with their ages ranging from 55 days to 22 months. CTS was associated with congenital heart disease (CHD) in 22 patients. There were no immediate stent-related airway complications. A significant and immediate improvement of respiratory obstruction following stent placement in all 31 patients led to successful weaning from the breathing machine and extubation. Granulation tissue formation as a complication was observed in three (9.7%) patients, but all were successfully managed using cryotherapy. During follow up (up to 24 months), stents in 29 infants remained functional. In seven cases, stents were retrieved under bronchoscope (the same day to 10 months), and three cases required stent replacement (each of the three cases had the stent replaced three times). Nine infants died after stenting due to other causes and two infants abandoned treatment. Conclusion: Airway stenting may provide an important therapeutic option in infants with CTS.

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Surgical outcome of slide tracheoplasty in patients with long congenital segment tracheal stenosis and single lung

Abstract: Slide tracheoplasty can be performed in patients with single lung and tracheal stenosis with a good surgical outcome.

Cited by 27 publications

References 12 publications

Slide tracheoplasty outcomes in children with congenital pulmonary malformations

Slide tracheoplasty outcomes in children with congenital pulmonary malformations

Congenital lung malformations: radiological findings and clues for differential diagnosis

Emergency management for congenital tracheal stenosis with endoluminal stenting in pediatric intensive care units

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