Management of severe congenital tracheal stenosis

Michael E. Dunham*, Lauren D. Holinger, Carl L. Backer, Constantine Mavroudis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

64 Scopus citations

Abstract

We have managed 23 infants and children with severe tracheal stenosis due to congenital complete tracheal rings producing a long-segment stenosis of the trachea. Nineteen (83%) have survived this life-threatening cause of airway obstruction, 7 of whom also had pulmonary artery slings. Pericardial patch tracheoplasty facilitated by partial cardiopulmonary bypass is currently our preferred technique for surgical repair. Eighteen patients (78%) underwent operative intervention, 3 of whom (17%) have died since surgery. The mean follow-up is 4.5 years. Bronchoscopy is essential for preoperative diagnosis and accurate intraoperative incision of the trachea, and is critical for long-term postoperative airway management. The more distal lesions are associated with increased complications and a higher mortality rate.

Original languageEnglish (US)
Pages (from-to)351-356
Number of pages6
JournalAnnals of Otology, Rhinology & Laryngology
Volume103
Issue number5
DOIs
StatePublished - May 1994

Keywords

  • bronchoscopy
  • pericardial patch tracheoplasty
  • tracheal stenosis

ASJC Scopus subject areas

  • Otorhinolaryngology

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