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Giant tracheocele following primary tracheostomy closure in a 3 year old child

Vito Briganti1, Paolo Tavormina, Alberto Testa

  • 1Department of Paediatric Surgery, San Camillo-Forlanini Hospital, Via Cicerone 60, 00163, Roma, Italy. vitobriganti@tiscali.it

Interactive Cardiovascular and Thoracic Surgery
|August 3, 2007
PubMed

Insights

A rare tracheocele, a complication of tracheal surgery, was successfully treated in a pediatric patient. Surgical repair using a costal cartilage graft ensured a patent airway without signs of malacia post-procedure.

Area of Science:

  • Pediatric Surgery
  • Respiratory Medicine
  • Surgical Pathology

Background:

  • Tracheocele is an uncommon condition, frequently developing as a complication following tracheal surgery.
  • This case highlights a secondary tracheocele in a 3-year-old child, occurring after tracheostomy closure.

Purpose of the Study:

  • To present a case of pediatric secondary tracheocele.
  • To describe the diagnostic methods and successful surgical management of this rare condition.

Main Methods:

  • Diagnosis involved computed tomography (TC) scan and dynamic flexible bronchoscopy.
  • Surgical intervention included tracheocele excision and tracheal reconstruction using a costal cartilage graft (Cotton procedure).

Main Results:

  • The diagnostic workup revealed substernal segmental tracheomalacia.
  • Post-operative follow-up at 14 months showed a patent cervical trachea with no evidence of malacia.

Conclusions:

  • Surgical management combining tracheocele excision and cartilage grafting is effective for secondary tracheocele with tracheomalacia.
  • This approach successfully restored airway patency in a pediatric patient.

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