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[Intrinsic congenital stenoses of the trachea]
B Grimaux1, A Rivron, C Lefrancois
1Service d'ORL et de Chirurgie Maxillo-Faciale, CHU Rennes.
Insights
Congenital tracheal stenosis in newborns has a poor prognosis, especially when extensive and intrinsic. A novel tracheoplasty technique offers improved outcomes for infants after intensive care.
Area of Science:
- Pediatric Surgery
- Neonatology
- Respiratory Medicine
Abstract:
The authors report about one case of intrinsic congenital stenosis of the trachea in a newborn. The prognosis of tracheal stenosis in infants is poor, more so when it is congenital and intrinsic, because it is often extensive and associated with other malformations, especially of the right mainstem bronchus and of the right lung. The prognosis of such extensive stenoses, for which surgery constantly resulted in death, has been improved by a new type of tracheoplasty (Kimura-Tsugawa, 1982). However, these children can only be operated with this procedure once they are through intensive care and acute respiratory distress, often in the neonatal period.