Revision Thoracic Slide Tracheoplasty for Congenital Tracheal Stenosis: Outcomes following Unsuccessful Prior Tracheal Reconstruction

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P108-P108
Author(s):  
Douglas R. Sidell ◽  
Alessandro de Alarcon ◽  
Peter B. Manning ◽  
Catherine K. Hart ◽  
Karthik Balakrishnan ◽  
...  
2021 ◽  
pp. 1-5
Author(s):  
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.


Author(s):  
Rami Zibdawi ◽  
Ryaan El-Andari ◽  
Michelle Noga ◽  
Matthew Hicks ◽  
M. Muhieldin ◽  
...  

2012 ◽  
Vol 47 (6) ◽  
pp. 1080-1083 ◽  
Author(s):  
Akiko Yokoi ◽  
Hiroshi Arai ◽  
Yuko Bitoh ◽  
Makoto Nakao ◽  
Yoshihiro Oshima ◽  
...  

1997 ◽  
Vol 106 (11) ◽  
pp. 914-919 ◽  
Author(s):  
Steven H. Dayan ◽  
Michael E. Dunham ◽  
Constantine Mavroudis ◽  
Carl L. Backer ◽  
Lauren D. Holinger

Long-segment congenital tracheal stenosis (LSCTS) is a rare condition. Originally, it was felt to be uniformly fatal; however, advances in technique have made surgical repair and survival possible. Our objective is to report results and technique of slide tracheoplasty for the treatment of LSCTS in the context of the overall experience at the Children's Memorial Hospital in Chicago. We reviewed 37 cases of infants and children with LSCTS. Thirty of the 37 infants underwent surgical intervention. Slide tracheoplasty resulted in survival in 1 of 2 infants, and pericardial patch tracheoplasty resulted in survival in 21 of 28 (75%). Of the 30 patients who had surgical repair, 7 (23%) have died, and 1 has been lost to follow-up (3%). Follow-up has ranged from 6 months to 13 years. Slide tracheoplasty is a satisfactory adjunct to existing techniques. With early diagnosis and appropriate management of LSCTS, survival is possible in a majority of patients.


2009 ◽  
Vol 44 (7) ◽  
pp. e15-e17 ◽  
Author(s):  
Emmanuel Le Bret ◽  
François Roubertie ◽  
Gilles Roger ◽  
Anne Sigal-Cinqualbre ◽  
Mathieu Coblence ◽  
...  

2013 ◽  
Vol 63 (10) ◽  
pp. 583-585 ◽  
Author(s):  
Koji Komori ◽  
Miki Toma ◽  
Naoki Shimojima ◽  
Yuki Yamamoto ◽  
Keiichi Uto ◽  
...  

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