title: Cervical slide tracheoplasty.
abstract: OBJECTIVE
  To describe our experience with cervical slide tracheoplasty (CST) in managing complex laryngotracheal disorders.
  
  
  METHODS
  Retrospective analysis.
  
  
  METHODS
  Quaternary care pediatric institution.
  
  
  METHODS
  The study included 29 patients who underwent CST without cardiopulmonary bypass at our institution from January 2003 to January 2011.
  
  
  METHODS
  Surgery-specific and overall operative success.
  
  
  RESULTS
  The most common airway lesion in our cohort of 29 patients (mean age, 10.7 years) was tracheal stenosis (n = 18); 10 of 18 patients had long-segment acquired tracheal stenosis. Operation-specific success was achieved in 23 of 29 patients (79%), including all 10 patients with long-segment acquired tracheal stenosis. Six patients failed initial CST and required additional surgical procedures. Overall success was achieved in 3 of these patients. Patients with subglottic stenosis (n = 7), concomitant glottic stenosis (n = 4), and multilevel airway lesions (n = 10) had lower operation-specific and overall operative success than did patients with other airway lesions. Four patients (14%) experienced complications.
  
  
  CONCLUSIONS
  Cervical slide tracheoplasty is a valuable technique that should be added to the surgical armamentarium for patients requiring open airway reconstruction. This technique yields a high success rate in treating patients with a broad spectrum of complex laryngotracheal disorders.
authors.affiliation: Division of Pediatric Otolaryngology-Head and Neck Surgery and Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. alessandro.dealarcon@cchmc.org
authors.forename: Alessandro
authors.initials: A
authors.lastname: de Alarcon
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Rutter
mesh_terms: D000367:Age Factors; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology; D001999:Bronchoscopy / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007828:Laryngoscopy / Q000379:methods; D007829:Laryngostenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D014135:Tracheal Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014139:Tracheostomy / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult