Objective:To assess the outcomes of congenital tracheal stenosis among children.Materials and methods:A retrospective review of all children who underwent surgical repair of congenital tracheal stenosis reviewing charts, operative notes, echocardiograms, CT and MRI data from January 2002 to February 2019.Results:Twenty-six children underwent surgical treatment for tracheal stenosis. The median age was 3 months (range 0.3–35 months) and the median weight was 4.7 kg (range 2.5–13 kg) at the time of surgical intervention. Stridor was the most common presenting symptom in 17 patients (65% of patients). Twenty-one patients (81%) had concurrent cardiac anomalies, with pulmonary arterial sling being the most common, present in nine patients (34%). Extracorporeal life support was utilised in seven patients (27%) pre-operatively. Laryngeal release was required in 16 patients. In 7 patients an end-to-end anastomosis was performed, in 18 patients slide tracheoplasty, and 1 patient had a double slide tracheoplasty. The median cardiopulmonary bypass time was 106 minutes (range 25–255 minutes). The median cross-clamp time was 30 minutes (range 5–67 minutes). The median post-operative duration of ventilation was 5 days (range 0.5–16 days). The median ICU length of stay was 12.5 days (range 2–60 days). There were three hospital mortalities with 88% survival. One patient only required reintervention with balloon dilation. Twenty-two patients (85%) remained symptom-free on median follow-up at 7.6 years (range 0.2–17 years). Two patients since 2017 had 3D printed tracheas produced from CT imaging to assist surgical planning.Conclusion:Congenital tracheal stenosis can be managed effectively with excellent outcomes and 3D printed models assist in planning the optimal surgical intervention.
Background: Kinesio-Tape (KT) is a common method used in rehabilitation, but the KT short-term therapeutic effects on children with cerebral palsy (CP) are unclear yet. Objectives: This study aims to investigate the short-term and immediate effects of KT on postural sway in children with CP. Methods: In this before- and after-study, 27 children aged between 4 and 11 years old with spastic CP were included. Immediate and short-term effects of KT on Quadriceps muscle (QcM) were then assessed using time-up and go test (TUG) and COP (center of pressure) displacement in five assessments. Results: The results of Repeated Measure Analysis show that the short-term use of KT on QcM could reduce COP displacement in both the mediolateral and anteroposterior directions and improve the balance among children with CP (P < 0.05). Conclusions: The immediate effects of KT on the QcM did not change the COP’s displacement and balance. It was demonstrated that the short-term use of KT in QcM could improve the balance of COP and reduce its displacement.
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