[Slide tracheoplasty in congenital tracheal stenosis].
OBJECTIVE
Slide Tracheoplasty has progressively become the gold standard in the management of long-segment tracheal stenosis in children and infants. However, in certain situations this operation might become difficult and others techniques might be preferred.


METHODS
Five patients, 1 to 6 month old had surgery by our team, for complex tracheal stenosis between 2001 and 2005. Tracheal hypoplasia was considered complex because it was associated to either: an acquired critical stenosis, a cricoid stenosis, a bronchial stenosis, a tracheal bronchus or associated to oesophageal atresia and severe tracheomalacia. All of them have been treated by a modified slide tracheoplasty.


RESULTS
The postoperative status required an average of 15 days in ICU, including 8 days of ventilation. Two patients had laryngeal nerve injury. Medium term follow up (27 months) demonstrated no need for re-intervention, good potential growth and normal child activity.


CONCLUSIONS
Slide tracheoplasty can provide good results in certain cases of severe and complex tracheal hypoplasia in infants.
Le Bret
E
E
Département des Cardiopathies Congénitales, Centre Chirurgical Marie Lannelongue, Université Paris XI, 133 avenue de la Résistance, 92350 Le Plessis Robinson, and Service d'ORL Pédiatrique, Hôpital d'Enfants Armant Trousseau, France. e.lebret@ccml.fr
Roger
G
G
Pezzettigotta
S
S
Belli
E
E
Roussin
R
R
Serraf
A
A
Garabédian
E N
EN
D000367:Age Factors; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D012121:Respiration, Artificial; D013997:Time Factors; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000151:congenital* / Q000601:surgery*; D016896:Treatment Outcome