“…Slide tracheoplasty is gaining acceptance. 16,[23][24][25][26][27][28][29][30] Although most are reports of 1 or 2 patients, overall mortality, including this series, is 9% (Table 3).…”
Slide tracheoplasty gives excellent short- and long-term results because long congenital stenosis is reconstructed with native tracheal tissue and is therefore immediately stable and lined with normal epithelium, and the operation is accomplished more simply and with a generally more benign postoperative course. Wholly satisfactory growth of the repaired segment occurs. Less common short congenital stenosis is effectively managed with resection and anastomosis.
“…Slide tracheoplasty is gaining acceptance. 16,[23][24][25][26][27][28][29][30] Although most are reports of 1 or 2 patients, overall mortality, including this series, is 9% (Table 3).…”
Slide tracheoplasty gives excellent short- and long-term results because long congenital stenosis is reconstructed with native tracheal tissue and is therefore immediately stable and lined with normal epithelium, and the operation is accomplished more simply and with a generally more benign postoperative course. Wholly satisfactory growth of the repaired segment occurs. Less common short congenital stenosis is effectively managed with resection and anastomosis.
“…In cases that include extensive tracheal lesions for which conventional resection with end-to-end anastomosis cannot be considered, different techniques and solutions have been described. [12][13][14] Yet, postoperative mortality and morbidity are rather common and related to intraoperative airway manipulation and the use of high-pressure ventilation. 15 Increased ventilation settings result in epithelial irritation, inflammation, suture stress, and direct trauma of the newly reconstructed airway.…”
Data suggest that iLA provides complete intraoperative respiratory support in patients who cannot receive conventional intubation/ventilation without relevant effects on cellular trauma, coagulatory response, and inflammatory response.
“…Since 2001, further supportive data have been published. [15][16][17][18][19][20] There seems little doubt that reconstruction of the trachea with vascularized tracheal tissue should be superior to the use of devascularized, nontracheal tissue.…”
Our data suggest that a formalized multidisciplinary team approach and a policy of primary slide tracheoplasty are beneficial in the management of children with long-segment tracheal stenosis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.