Tracheal Reconstruction for Congenital Tracheal Stenosis: A 950-gram Neonate

Rami Zibdawi ◽  
Ryaan El-Andari ◽  
Michelle Noga ◽  
Matthew Hicks ◽  
M. Muhieldin ◽  
2012 ◽  
Vol 47 (6) ◽  
pp. 1080-1083 ◽  
Akiko Yokoi ◽  
Hiroshi Arai ◽  
Yuko Bitoh ◽  
Makoto Nakao ◽  
Yoshihiro Oshima ◽  

1991 ◽  
Vol 11 (1) ◽  
pp. 106-111
Hisashi OHORI ◽  
Takashi NAKAGAWA ◽  
Takako TSUDA ◽  
Motomi ARAKAWA ◽  
Osamu AOCHI ◽  

1996 ◽  
Vol 34 (3) ◽  
pp. 245-252 ◽  
Patrick Froehlich ◽  
Donald B. Kearns ◽  
Allan B. Seid ◽  
Seth M. Pransky ◽  
Jean-Paul Chappuis ◽  

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P108-P108
Douglas R. Sidell ◽  
Alessandro de Alarcon ◽  
Peter B. Manning ◽  
Catherine K. Hart ◽  
Karthik Balakrishnan ◽  

2021 ◽  
pp. 1-5
Naoki Kaneko ◽  
Tomomi Hasegawa

Abstract Background: Slide tracheoplasty for congenital tracheal stenosis (CTS) has been shown to improve post-operative outcomes, but the incidence and risk factors of vocal cord paralysis (VCP) following slide tracheoplasty remain unclear. This study aimed to review our experience of slide tracheoplasty for CTS with a focus on post-operative VCP. Methods: Twenty-eight patients, who underwent tracheal reconstruction with or without cardiovascular repair at Kobe Children’s Hospital between June, 2016 and March, 2020 were enrolled in this retrospective observational study. They were divided into two groups based on the presence of a pulmonary artery sling (PA sling). Perioperative variables were compared between the two groups. Results: Twenty-one of the 28 patients underwent concomitant repair for associated cardiovascular anomalies, including 15 patients with PA sling. The overall incidence of VCP following slide tracheoplasty was 28.6%. The incidences of VCP were 46.7% in patients with CTS and PA sling, which were 14.3% in CTS patients without cardiovascular anomalies. The only risk factor associated with VCP following slide tracheoplasty was a concomitant repair for PA sling. Post-operatively, the duration of nasogastric tube feeding in patients with VCP was significantly longer than that in patients without VCP. Conclusions: The incidence of VCP following slide tracheoplasty for CTS was high, especially in concomitant repair cases for PA sling. Routine screening and evaluation of VCP soon after post-operative extubation is required for its appropriate management.

Teja Karkhanis ◽  
Farhan Zafar ◽  
Brian Juarez ◽  
David Luis-Simon Morales ◽  
Balakrishna Haridas

Congenital Tracheal Stenosis (CTS) is a rare birth defect requiring surgical interventions when it affects more than 30% of the trachea. Slide tracheoplasty, the current standard of care, is associated with reinterventions including the need for intraluminal stenting leading to increased airway infections. We propose a novel Bio-Synthetic Graft for long segment tracheal reconstructions in CTS patients. Preliminary bench performance testing, using lamb tracheas, shows that the Bio-Synthetic Graft reconstructed tracheas have comparable radial, axial and bending stiffness in hyperextension to healthy tracheas and resist collapse when subjected to bending in flexion. These results suggest that Bio-Synthetic Graft could be a promising alternative to existing solutions for long segment CTS.

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