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[External tutor of ePTFE in tracheal stenosis. Clinical application]
J Gonzálvez Piñera1, I Claret Corominas, J Mayol Gómez
1Complejo Hospitalario Universitario de Albacete, Hospital de Barcelona-SCIAS.
Summary
This study presents a novel technique for treating pediatric tracheal stenosis using an external expanded polytetrafluoroethylene (ePTFE) stent. This method effectively prevented restenosis after surgical repair, allowing a child to recover fully.
Area of Science:
- Pediatric surgery
- Thoracic surgery
- Regenerative medicine
Background:
- Acquired tracheal stenosis in children often results from trauma or intubation.
- Surgical resection and anastomosis is the standard treatment, but restenosis is common, especially for resections over 2 cm.
- High anastomotic tension contributes to restenosis rates.
Observation:
- A 7-year-old child developed severe cervical tracheal stenosis after a car crash and intubation.
- Previous treatments including laser sessions and balloon dilation were unsuccessful.
- Surgical resection and primary anastomosis with an external ePTFE stent was performed.
Findings:
- The patient was successfully treated and extubated promptly.
- Post-operative imaging confirmed widely patent tracheal lumina without stenosis.
- The child remained asymptomatic and active in sports three years after surgery.
Implications:
- The described technique using an external ePTFE stent is effective in preventing post-anastomotic tracheal stenosis in children.
- This approach offers a promising solution for complex pediatric tracheal injuries.
- Successful management can lead to full recovery and return to normal activities.