Modified slide tracheoplasty for congenital tracheal stenosis.
Slide tracheoplasty has become a standard procedure to treat long-segment congenital tracheal stenosis because it is a reasonable and simple technique. Slide tracheoplasty does not affect the carina during long-segment congenital tracheal stenosis management, and thus lesions of the carina, such as stenosis and tracheobronchomalacia can become important causes of extubation failure after surgery. In this manusript, we describe the effectiveness of our modified slide tracheoplasty, which includes reconstruction of the carina. We have performed this technique on three patients, all of whom were extubated without developing any respiratory symptoms.
Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital, Kiyose City, Tokyo, Japan. toma@chp-kiyose-tokyo.jp
Miki
M
Toma
Shoichiro
S
Kamagata
Seiichi
S
Hirobe
Koji
K
Komori
Kenji
K
Okumura
Mitsuru
M
Mutoh
Akira
A
Hayashi
D000714:Anastomosis, Surgical; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007442:Intubation, Intratracheal; D008297:Male; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D014132:Trachea / Q000254:growth & development / Q000601:surgery*; D014135:Tracheal Stenosis / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D055089:Tracheobronchomalacia / Q000175:diagnosis / Q000601:surgery