Related Experiment Videos
[Tracheobronchial reconstruction in infants and children]
1Department of Surgery, Kobe Children's Hospital.
Nihon Kyobu Shikkan Gakkai Zasshi
|June 1, 1992
Summary
Surgical interventions for pediatric tracheobronchial obstructions showed success in 46 of 58 patients, leading to endotracheal tube removal and symptom relief. Procedures like laryngotracheoplasty and aortopexy are effective, though external stenting for bronchomalacia was less successful.
Area of Science:
- Pediatric surgery
- Thoracic surgery
- Respiratory medicine
Context:
- Tracheobronchial obstructions present significant challenges in infants and children.
- Surgical management is often necessary for severe cases.
- Kobe Children's Hospital has a history of treating these conditions.
Purpose:
- To evaluate the efficacy of various surgical procedures for tracheobronchial obstructions in pediatric patients.
- To identify successful surgical techniques and those requiring modification.
Summary:
- Fifty-eight pediatric patients with conditions including subglottic stenosis, congenital tracheal stenosis, tracheomalacia, and bronchomalacia underwent surgical treatment.
- Procedures utilized included laryngotracheoplasty, tracheoplasty, aortopexy, and bronchial resection with anastomosis.
- Successful extubation and symptom-free recovery were achieved in 46 out of 58 patients.
Impact:
- Surgical interventions are effective in resolving tracheobronchial obstructions in a majority of pediatric cases.
- Specific procedures like laryngotracheoplasty, tracheoplasty, and aortopexy demonstrate positive outcomes.
- External stenting for bronchomalacia proved less effective and is not recommended for continuation.