[A two-year-old child with tracheal stenosis due to tracheostomy treated by end-to-end anastomosis of the trachea].
Successful operation performed on a 2-year-old boy with tracheal stenosis due to long-term intubation was reported. He was admitted to our department 1 year after a neurosurgical operation. Endoscopically, destruction of cartilage rings was observed just above the site of tracheostomy, and the tracheal wall was collapsed without a help of tracheal tube. Reconstruction of the trachea by circumferential resection and end-to-end anastomosis was done. During the operation, the patient was uniformly ventilated by tracheal tube through nasal intubation. After the operation, tracheal intubation was continued for 7 days, and anterior fixation of neck for 8 days. The postoperative course was uneventful and the patient remains asymptomatic 8 months after operation.
Department of Surgery I, Tokyo Women's Medical College, Japan.
S
S
Sasano
T
T
Onuki
H
H
Nakajima
T
T
Itaoka
M
M
Yokoyama
S
S
Nitta
D000714:Anastomosis, Surgical / Q000379:methods; D002675:Child, Preschool; D006801:Humans; D008297:Male; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*; D014139:Tracheostomy / Q000009:adverse effects*