title: Modified slide tracheoplasty in a newborn with bronchial and carinal stenosis.
abstract: Congenital tracheal stenosis (CTS) is a life-threatening condition that is associated with significant morbidity and mortality particularly when symptomatic presentation occurs in the newborn period. The most challenging form of CTS is long segment congenital tracheal stenosis (LSCTS) with compromise of the carina and main stem bronchi. We report the case of a newborn with severe distal tracheal stenosis with carinal and main stem bronchial involvement who was managed successfully with a modified slide and autologous rib graft tracheoplasty. The patient was discharged from hospital without ventilator support or oxygen requirement at 2 months of age. The details of this case and the description of the surgical procedure are presented and the related literature is reviewed.
authors.affiliation: Department of Surgery, Division of Pediatric Otolaryngology, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada. Electronic address: fandino.marcela@gmail.com.
authors.forename: Marcela
authors.initials: M
authors.lastname: Fandiño
authors.forename: Frederick K
authors.initials: FK
authors.lastname: Kozak
authors.forename: Cindy
authors.initials: C
authors.lastname: Verchere
authors.forename: Andrew
authors.initials: A
authors.lastname: Campbell
mesh_terms: D016025:Bone Transplantation / Q000379:methods; D001980:Bronchi / Q000503:physiopathology / Q000601:surgery; D001982:Bronchial Diseases / Q000151:congenital* / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods; D003251:Constriction, Pathologic / Q000151:congenital / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012272:Ribs / Q000601:surgery / Q000637:transplantation*; D018570:Risk Assessment; D012720:Severity of Illness Index; D056346:Sternotomy / Q000379:methods; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000601:surgery; D014135:Tracheal Stenosis / Q000151:congenital* / Q000601:surgery*; D014182:Transplantation, Autologous / Q000379:methods; D016896:Treatment Outcome
keywords: Congenital tracheal ring; Long segment tracheal stenosis; Pediatric airway; Tracheal reconstruction