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[Surgical treatment of acquired tracheal stenosis in pediatrics]

Giselle Cuestas1, Verónica Rodríguez2, Daniel Navacchia3

  • 1Sección de Endoscopia Respiratoria, División de Otorrinolaringología. Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina. giselle_cuestas@yahoo.com.ar.

Archivos Argentinos De Pediatria
|January 28, 2020
PubMed

Insights

Pediatric acquired tracheal stenosis, often from intubation, is challenging to manage. Tracheal resection with primary anastomosis offers good long-term results for post-intubation tracheal stenosis.

Area of Science:

  • Pediatric surgery
  • Thoracic surgery
  • Respiratory medicine

Background:

  • Acquired tracheal stenosis is rare in children, with post-intubation and post-tracheostomy being common causes.
  • Current management strategies for pediatric tracheal stenosis are debated, balancing immediate symptom relief against long-term outcomes.
  • Endoscopic treatments offer temporary relief but risk high recurrence and surgical complications, while prostheses can worsen outcomes.

Purpose of the Study:

  • To evaluate the efficacy of tracheal resection and primary anastomosis in treating pediatric post-intubation tracheal stenosis.
  • To present the authors' experience with this surgical approach in a small cohort of pediatric patients.

Main Methods:

  • Retrospective review of 8 pediatric patients who underwent tracheal resection and end-to-end anastomosis.
  • Focus on treatment of post-intubation tracheal stenosis.

Main Results:

  • The study describes the authors' experience with tracheal resection and primary anastomosis in 8 pediatric patients.
  • This approach was used for post-intubation tracheal stenosis.

Conclusions:

  • Tracheal resection followed by end-to-end anastomosis is a viable surgical option for pediatric post-intubation tracheal stenosis.
  • This method may provide durable results for managing this challenging condition in children.

Keywords:
acquired tracheal stenosispediatricssurgery

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