Operative or non-operative treatment of congenital tracheal stenosis: is there something new?

Antón‐Pacheco, Juan L.; Morante, R.

doi:10.21037/jtd.2017.11.75

Cited by 12 publications

(6 citation statements)

References 20 publications

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“…It is extremely challenging as the combination conditions may require a change or alteration in conventional strategy. During the past 10 years, apart from simply extending mechanical ventilation or tracheotomy, some cardiac surgery centers pioneered many of the techniques that are currently used ( 13 – 15 ). However, a generally accepted individualized treatment plan is yet to be introduced or adopted.…”

Section: Introductionmentioning

confidence: 99%

Individualized Analysis and Treatment of Difficult Weaning From Ventilation Following Open Cardiac Surgery in Young Children With Congenital Heart Disease

Chen

Iroegbu

et al. 2022

Front. Cardiovasc. Med.

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AimsThe study explores the leading causes of postoperative extubation difficulties in pediatric patients (neonates and toddlers) with congenital heart diseases and establishes individualized treatment for different reasons.MethodWe retrospectively analyzed medical records of 4,971 pediatric patients with congenital heart defects treated in three tertiary Congenital Heart Disease Centres in China from January 2005 to December 2020, from whom we selected those with difficulty extubation but successful weaning during the postoperative period. Next, we performed an analysis of risk factors and reported the combined experience of individualized treatment for successful extubation.ResultsSeventy-five pediatric patients were identified in our database, among whom 23 had airway stenosis, 17 had diaphragmatic dysfunction, and 35 had pulmonary infection. The patients were all successfully weaned from the ventilator after an individualized treatment plan. In addition, the intubation time in the airway stenosis group was 17.7 ± 9.0, 33.6 ± 13.9 days in the diaphragmatic dysfunction group, and 11.9 ± 3.8 days in the pulmonary infection group.ConclusionGiven the primary reasons for difficult weaning following open-heart surgery in pediatric patients with congenital heart diseases, an individualized treatment scheme can achieve the ideal therapeutic effect where patients can be weaned faster with a shorter intubation period.

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Section: Introductionmentioning

confidence: 99%

Individualized Analysis and Treatment of Difficult Weaning From Ventilation Following Open Cardiac Surgery in Young Children With Congenital Heart Disease

Chen

Iroegbu

et al. 2022

Front. Cardiovasc. Med.

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“…Первичный врожденный стеноз трахеи (ПВСТ) относится к редким порокам развития и встречается у 1 на 64 500 новорожденных, чаще у мальчиков. Сочетанные пороки, 50% из которых сердечно-сосудистые, диагностируют в 80% наблюдений [1][2][3]. Наибольшую опасность представляет врожденный стеноз гортани у новорожденных детей ввиду очень быстрого развития асфиксии, что обусловлено анатомическими особенностями трахеи у детей, а именно более узким, чем у взрослых, просветом.…”

Section: Introductionunclassified

Congenital tracheal stenosis: case report

Goltsman¹,

Kuchma²,

Bondarenko³

et al. 2021

Russian Journal of Woman and Child Health

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The rate of congenital malformations of the larynx is challenging to assess. This is probably accounted for by the fact that these diseases occur more commonly than they are diagnosed. This paper describes a case report of congenital laryngeal stenosis, which was a diagnosis of exclusion since this congenital malformation is very rare in neonatal and pediatric practice. After a preliminary diagnosis in the maternity hospital, a newborn was transferred to Krasnoyarsk’s large pediatric hospital for examinations and treatment. Clinical diagnosis was verified by laryngotracheoscopy and CT scan of the larynx and trachea. The newborn’s condition was severe for 28 days. He stayed in the intensive care unit and was on a ventilator and oxygen. Tracheal intubation followed by extubation (performed three times) has no effect due to the increase in respiratory failure. Newborn’s condition improved only after palliative tracheostomy. The child was discharged in satisfactory condition with recommendations on tracheostoma care. Management decision on the surgical technique to address this malformation will be taken later. KEYWORDS: primary congenital tracheal stenosis, children, clinical presentations, diagnosis. FOR CITATION: Gol’tsman E.V., Kuchma O.A., Bondarenko E.N., Maiseenko D.A. Congenital tracheal stenosis: case report. Russian Journal of Woman and Child Health. 2021;4(3):298–301 (in Russ.). DOI: 10.32364/2618-8430-2021-4-3-298-301.

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“…Congenital Tracheal Stenosis (CTS) is a rare birth defect affecting 1 in 64,500 infants born every year [1]. Long segment CTS affecting > 30% of the tracheal length requires surgical intervention [2].…”

Section: Introductionmentioning

confidence: 99%

“…The Bio-Synthetic Graft as shown in Fig.1 is made of a biological patch material to repair the long segment defect, extraluminally supported by a resorbable polymer exostent to provide structural support to the surgically reconstructed trachea. 1 Contact author: bharidas@tamu.edu…”

Section: Introductionmentioning

confidence: 99%

Novel Bio-Synthetic Graft for Tracheal Reconstruction in Pediatric Patients With Congenital Tracheal Stenosis: In Vitro Studies of Axial, and Bending Biomechanics

Karkhanis

Zafar

Juarez

et al. 2019

2019 Design of Medical Devices Conference

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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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Operative or non-operative treatment of congenital tracheal stenosis: is there something new?

Cited by 12 publications

References 20 publications

Individualized Analysis and Treatment of Difficult Weaning From Ventilation Following Open Cardiac Surgery in Young Children With Congenital Heart Disease

Individualized Analysis and Treatment of Difficult Weaning From Ventilation Following Open Cardiac Surgery in Young Children With Congenital Heart Disease

Congenital tracheal stenosis: case report

Novel Bio-Synthetic Graft for Tracheal Reconstruction in Pediatric Patients With Congenital Tracheal Stenosis: In Vitro Studies of Axial, and Bending Biomechanics

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