Tracheoplasty for congenital stenosis of the entire trachea

Kimura, Ken; Mukohara, Nobuhiko; Tsugawa, Chikara; Matsumoto, Yoichi; Sugimura, Chie; Murata, Hiroshi; Itoh, Hiroshi

doi:10.1016/s0022-3468(82)80458-2

Cited by 175 publications

(74 citation statements)

References 9 publications

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“…31,45,46 However, this procedure was found to be unsuccessful in treating patients with long-segment CTS. In response, Kimura et al 8 implemented a tracheal graft technique to widen the airway diameter. Since then, numerous surgical reconstructive techniques have been described for CTS (Table 1).…”

Section: Surgical Techniques and Outcomesmentioning

confidence: 99%

“…In 1982, Kimura et al 8 reported the first successful repair of long segment CTS by using rib cartilage tracheoplasty in a 12-month-old child. Their technique consisted of reconstruction of the anterior tracheal wall by using 2 pieces of costal cartilage and was subsequently performed successfully in other centers.…”

Section: Rib Cartilage Tracheoplastymentioning

confidence: 99%

“…4 Although a subset of infants with CTS may outgrow their tracheal stenosis over time, 2,5,6 surgical intervention is often inevitable for symptomatic patients. Several operative techniques for treating CTS have been described, including resection with end-to-end anastomosis, 7 rib cartilage graft tracheoplasty, 8,9 pericardial patch tracheoplasty, 5,7,10,11 and slide tracheoplasty. 4,5,7,[12][13][14][15][16][17] Additionally, the use of endoscopic stenting as the primary treatment of CTS was recently reported.…”

mentioning

confidence: 99%

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Management of Congenital Tracheal Stenosis

Hofferberth¹,

Watters

Rahbar

et al. 2015

PEDIATRICS

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Congenital tracheal stenosis (CTS) is a serious and rare condition. In most cases, stenotic lesions are composed of complete tracheal rings of cartilage. The severity of symptoms correlates with the length of affected trachea, the presence of concomitant respiratory conditions, degree of luminal narrowing, and any bronchial involvement. Critically, CTS is a disorder that can lead to life-threatening respiratory insufficiency in children. Thus, it is a clinical entity that demands timely diagnosis and treatment. This review will firstly discuss the anatomy and pathophysiology of CTS and outline the various clinical presentations associated with the disorder. In addition, methods of diagnosis and treatment strategies will be reviewed, with a focus on contemporary surgical techniques. Finally, postoperative care of patients with CTS will be reviewed, and a contemporary multidisciplinary management approach will be presented.

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Section: Surgical Techniques and Outcomesmentioning

confidence: 99%

Section: Rib Cartilage Tracheoplastymentioning

confidence: 99%

mentioning

confidence: 99%

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Management of Congenital Tracheal Stenosis

Hofferberth¹,

Watters

Rahbar

et al. 2015

PEDIATRICS

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“…The final two were employed successfully for treatment of long congenital stenosis. Re-epithelization and only occasional necrosis was observed [81,82,83,84]. Cartilage patches mostly resorbed and replaced with mature scar tissue [85].…”

Section: Autograft Transplantationmentioning

confidence: 99%

Tracheal Tissue Engineering

Birla

2014

Introduction to Tissue Engineering

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“…A pulmonary artery sling, vascular rings or other structural abnormalities of the heart and vessels were not noted. Median sternotomy and tracheal reconstruction with a cartilaginous graft was performed, as described by Kimura et al (1). The patient had a complicated postoperative course, which resulted in cardiopulmonary arrest.…”

mentioning

confidence: 99%