Resection of an intrathoracic tracheal stenosis in a child.
A 6-year-old boy sustained a severe head injury during a traffic accident. He was first treated at another hospital. Despite a short intubation period of only 3 days, within 4 weeks he developed severe tracheal stenosis, with a residual lumen 3 mm in diameter and a total length of 2.3 cm, ending 3 cm above the carina. After initial bougienage enlarging the lumen to 6 mm in diameter, surgery was performed at our hospital 6 weeks after the accident. The stenosis was resected in toto, and tracheal continuity was restored by interrupted sutures using the Grillo technique. The postoperative course was uneventful. Follow-up tracheoscopy 3 months later showed a residual stenosis of 20% within the anastomotic region, and the patient was free of symptoms.
D002648:Child; D006257:Head; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D011182:Postoperative Care; D011187:Posture; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*