title: Resection of the stenotic segment with individually tailored anastomosis for symptomatic congenital tracheal stenosis in infants.
abstract: OBJECTIVE
  To analyse retrospectively population-based results of congenital tracheal stenosis (CTS) repair in infants in Finland.
  
  
  METHODS
  Data on infants who were operated on for CTS in Helsinki Children's Hospital between August 1988 and May 2013 were analysed retrospectively. Fibreoptic bronchoscopy was performed perioperatively and in follow-up of all the surviving patients. The median follow-up time was 7 (range 1-20) years.
  
  
  RESULTS
  Thirteen infants were operated on for CTS. Resection of the stenotic segment with individually tailored anastomosis was used in 12 patients and slide tracheoplasty in 1 patient. The median age at the operation was 2.9 (range 0.2-19) months. Eight (62%) patients had associated cardiovascular defects, which were corrected during the same operation. The median length of stenosis was 35% (range 25-60%) of the total length of the trachea. The median length of time of postoperative mechanical ventilation was 10 (range 5-19) days. The median length of time of intensive care treatment was 15 (range 7-40) days. One patient died from hypoplastic lung tissue and fibrosis, and multiorgan failure. One patient required reoperation, and 3 other patients received balloon bronchodilatations postoperatively. There was no late mortality. All of the 12 survivors had a good outcome.
  
  
  CONCLUSIONS
  Resection with individually tailored anastomosis with up to 55% of the stenotic segment of the trachea presented a good long-term outcome.
authors.affiliation: Department of Paediatric Cardiac Surgery, Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland.
authors.forename: Panu L
authors.initials: PL
authors.lastname: Aaltonen
authors.affiliation: Department of Paediatric Cardiac Surgery, Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland.
authors.forename: Juha T
authors.initials: JT
authors.lastname: Puntila
authors.affiliation: Department of Paediatric Anaesthesiology, Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland.
authors.forename: Pertti K
authors.initials: PK
authors.lastname: Suominen
authors.affiliation: Department of Paediatric Cardiac Surgery, Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland.
authors.forename: Ilkka P
authors.initials: IP
authors.lastname: Mattila
authors.affiliation: Department of Paediatric Cardiac Surgery, Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland.
authors.forename: Heikki I
authors.initials: HI
authors.lastname: Sairanen
authors.affiliation: Department of Paediatric Surgery, Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland.
authors.forename: Harry
authors.initials: H
authors.lastname: Lindahl
authors.affiliation: Department of Paediatric Cardiac Surgery, Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland jukka.salminen@hus.fi.
authors.forename: Jukka T
authors.initials: JT
authors.lastname: Salminen
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D003251:Constriction, Pathologic / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D014132:Trachea / Q000002:abnormalities* / Q000601:surgery
keywords: Congenital tracheal stenosis; Paediatric; Tracheal surgery