Resection of the stenotic segment with individually tailored anastomosis for symptomatic congenital tracheal stenosis

Related Experiment Video

Updated: May 1, 2026

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
09:57

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

6.5K

Panu L Aaltonen1, Juha T Puntila1, Pertti K Suominen2

  • 1Department of Paediatric Cardiac Surgery, Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|April 1, 2014
PubMed

Insights

Congenital tracheal stenosis (CTS) repair in infants using resection with individually tailored anastomosis showed good long-term outcomes. This surgical approach for infant CTS offers a favorable prognosis for survivors.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Malformations

Background:

  • Congenital tracheal stenosis (CTS) is a rare but serious condition in infants.
  • Effective surgical management is crucial for improving outcomes in affected infants.

Purpose of the Study:

  • To retrospectively analyze the population-based results of congenital tracheal stenosis repair in infants in Finland.
  • To evaluate the long-term outcomes of surgical interventions for CTS.

Main Methods:

  • Retrospective analysis of data from infants operated on for CTS at Helsinki Children's Hospital (1988-2013).
  • Fibreoptic bronchoscopy for perioperative and follow-up assessments.
  • Median follow-up of 7 years.

Main Results:

  • Thirteen infants underwent CTS repair; 12 with resection and tailored anastomosis, 1 with slide tracheoplasty.
  • Median age at operation was 2.9 months; 62% had associated cardiovascular defects.
  • Good long-term outcomes were observed in all 12 survivors, with no late mortality.

Conclusions:

  • Resection with individually tailored anastomosis for congenital tracheal stenosis in infants provides a good long-term outcome.
  • This technique is effective for managing stenotic segments up to 55% of tracheal length.
Abstract

Keywords:
Congenital tracheal stenosisPaediatricTracheal surgery

More Related Videos

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease09:10

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

Published on: January 20, 2010

13.3K
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

16.7K

Related Concept Videos

Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
6.2K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
5.8K
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
535
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
3.1K
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
2.2K