Tracheoplasty with pericardial patch for extensive tracheal stenosis in infants and children

Immediate tracheal reconstruction with forearm flap and bone graft

“…A small window defect in the trachea after tumor resection is usually closed primarily, or reinforced with surrounding soft tissue or a patch with adjacent strap muscle or sternocleidomastoid muscle (Friedman, Toriumi, Owens,& Grybauskas, 1988;Friedman & Mayer, 1992;McCaffrey, 2006). Other nonvascularized grafts such as fascia lata, pericardium, periosteum, bone strips with fibrocollagen, periosteal patch applied to staggered buccal mucosa and auricular cartilage, rib and ear perichondrium, nasal septal mucocartilage, epidermis, and bronchial and tracheal patches can also be used to manage small defects successfully (Bryant, 1964;Ch'ng et al, 2012;Cohen et al, 1986;Delaere, Liu, & Hermans, 1998;Drettner & Lindholm, 1970;Fonkalsrud & Plested, 1966;Idriss et al, 1984;Kucera, Doss, Dunn, Clemson, & Zwischenberger, 2007;Paulson, 1951aPaulson, ,1951b (Al-Khudari et al, 2013;Ch'ng et al, 2012;Fujiwara et al, 2005;Hamahata et al, 2017;Yu et al, 2006Yu et al, , 2011 and secondary reconstructions (Detwiller et al, 2013;Ebihara et al, 2011;Fukunaga et al, 2014;Fujiwara et al, 2009;Homma et al, 2003;Koshima et al, 1997;Kashiwa et al, 2009;Ninkovic et al, 2016;Teng et al, 2005).…”

Pediatric Laryngotracheal Surgery

“…Pericardium has been a popular choice and has been successful. 35,36 Costal cartilage has also been used as an anterior graft material and, recently, tracheal autograft reconstruction has been successful. 37 In this procedure a segment of stenosed trachea is resected and an end‐to‐end anastomosis performed.…”

Autopericardial Patch Tracheoplasty for Tracheal Stenosis After Arterial Switch Operation

“…Surgical intervention consists of internal stenting, external stenting, aortopexy, tracheoplasty using autopericardium 3 or cartilages, 4 slide tracheoplasty, 5 etc. In this case, autopericardial tracheoplasty with aortopexy was selected, because pericardium is a readily available autologous material, is quite easy to obtain an air‐tight seal, and becomes re‐epithelialized with ciliated pseudostratified columnar epithelium 6 .…”