Prognostic factors in the surgical treatment of congenital tracheal stenosis

Chiu, Priscilla; Kim, Peter C.W.

doi:10.1016/j.jpedsurg.2005.10.043

Cited by 91 publications

(63 citation statements)

References 16 publications

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“…Four deaths (5%) were reported (1). This mortality rate was much lower than the previously reported mortality rate of up to 24% in some series (34,35).…”

Section: Slide Tracheoplastycontrasting

confidence: 69%

Tracheal and bronchial stenoses and other obstructive conditions

2016

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“…Four deaths (5%) were reported (1). This mortality rate was much lower than the previously reported mortality rate of up to 24% in some series (34,35).…”

Section: Slide Tracheoplastycontrasting

confidence: 69%

Tracheal and bronchial stenoses and other obstructive conditions

2016

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“…this group reflect this; studies have demonstrated 70% to 100% mortality in newborns with CTS who present in a critically ill state, with the major prognostic factor being the presence and severity of associated cardiovascular anomalies. 2,20,29 The complexity of these patients demands a multidisciplinary management approach, including appropriate counseling of parents regarding the potential for poor outcomes.…”

Section: Figurementioning

confidence: 99%

“…29 Patients with Cantrell type 1 (generalized hypoplasia) CTS morphology are most likely to be severely symptomatic in the neonatal/early infancy period, and have a high rate of associated cardiovascular anomalies. 29,32 DIAGNOSTIC EVALUATION Several diagnostic approaches have been used in patients with CTS, with some variability in practice patterns among major referral centers. 3,33 The gold standard for definitive diagnosis of CTS is rigid laryngobronchoscopy under general anesthesia.…”

Section: Symptomatic-infancymentioning

confidence: 99%

“…However, this modality frequently underestimates the degree and length of airway narrowing, and hence should be used as an adjunctive investigative tool only. 29 MRI has been demonstrated to be an effective and noninvasive imaging modality to delineate associated intracardiac and vascular anomalies in patients with CTS. However, the clinical characteristics of the CTS patient population often limits its utility; general anesthesia is often required to obtain an MRI in an infant or child, and patients with severe CTS are frequently intubated before undergoing investigations, thereby limiting accurate imaging of the native airway.…”

Section: Symptomatic-infancymentioning

confidence: 99%

“…28 The complexity of these associated anomalies often complicates the diagnosis of CTS and compounds operative risk. 29 Associated extrathoracic congenital anomalies include gastrointestinal, renal, and skeleton abnormalities, including vertebral defects-anal atresiacardiovascular anomaliestracheoesophageal fistula with esophageal atresia-radial and renal dysplasia-limb defects/vertebral defects-anal atresiatracheoesophageal fistula with esophageal atresia-radial and renal dysplasia syndromes and anorectal malformations.…”

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confidence: 99%

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Management of Congenital Tracheal Stenosis

Hofferberth¹,

Watters

Rahbar

et al. 2015

PEDIATRICS

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Congenital tracheal stenosis (CTS) is a serious and rare condition. In most cases, stenotic lesions are composed of complete tracheal rings of cartilage. The severity of symptoms correlates with the length of affected trachea, the presence of concomitant respiratory conditions, degree of luminal narrowing, and any bronchial involvement. Critically, CTS is a disorder that can lead to life-threatening respiratory insufficiency in children. Thus, it is a clinical entity that demands timely diagnosis and treatment. This review will firstly discuss the anatomy and pathophysiology of CTS and outline the various clinical presentations associated with the disorder. In addition, methods of diagnosis and treatment strategies will be reviewed, with a focus on contemporary surgical techniques. Finally, postoperative care of patients with CTS will be reviewed, and a contemporary multidisciplinary management approach will be presented.

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A case of Toriello–Carey syndrome with severe congenital tracheal stenosis

Yokoo

Marumo

Nishida

et al. 2013

American J of Med Genetics Pt A

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Toriello-Carey syndrome is rare condition characterized by agenesis of the corpus callosum, the Pierre Robin sequence, and facial anomalies such as telecanthus, short palpebral fissures, and a small nose with anteverted nares [Toriello and Carey, 1988]. In addition, tracheal and laryngeal anomalies are common complications in patients with Toriello-Carey syndrome, and these anomalies can lead to death [Kataoka et al., 2003]. Congenital tracheal stenosis is a life-threatening condition with high mortality. Even if surgery is successful, several serious complications can result in a high risk of mortality. We describe a case of a Japanese boy with Toriello-Carey syndrome who had severe congenital tracheal stenosis, in whom surgical tracheal plasty was avoided because of adequate respiratory care, allowing the patient to be alive at 18 months of age.

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Prognostic factors in the surgical treatment of congenital tracheal stenosis

Cited by 91 publications

References 16 publications

Tracheal and bronchial stenoses and other obstructive conditions

Tracheal and bronchial stenoses and other obstructive conditions

Management of Congenital Tracheal Stenosis

A case of Toriello–Carey syndrome with severe congenital tracheal stenosis

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