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Postoperative nursing after tracheoplasty for congenital tracheal stenosis

Ying Qiu1, Shujuan Sun1, Pengrong Huang1

  • 1Department of Cardiac Surgery, children's Hospital of Shandong University (Jinan children's Hospital), Jinan, China.

Frontiers in Pediatrics
|June 4, 2026
PubMed

Insights

Targeted nursing care for children with congenital tracheal stenosis (CTS) after tracheoplasty significantly improves outcomes. Meticulous airway management and complication monitoring are crucial for recovery and reducing mortality.

Area of Science:

  • Pediatric Surgery
  • Respiratory Medicine
  • Nursing Care

Background:

  • Congenital tracheal stenosis (CTS) poses significant challenges in pediatric surgical care.
  • Tracheoplasty is a complex procedure requiring specialized postoperative management.

Purpose of the Study:

  • To investigate effective nursing strategies for managing postoperative complications in children with CTS following tracheoplasty.
  • To enhance patient outcomes and recovery through targeted nursing interventions.

Main Methods:

  • Retrospective analysis of 263 children with CTS undergoing tracheoplasty.
  • Evaluation of key nursing aspects: positioning, intubation, ventilation, airway care, and complication management.

Main Results:

  • Overall mortality rate was 4.5% (12 deaths).
  • Common complications included granulation tissue hyperplasia (18 cases), anastomotic scar contracture (34 cases), and severe tracheomalacia (43 patients).
  • Postoperative interventions like balloon dilatation and stent implantation were utilized, with significant respiratory improvement in survivors.

Conclusions:

  • Meticulous postoperative airway nursing care is essential for children with CTS.
  • Effective nursing strategies improve surgical outcomes, reduce complication rates, and facilitate recovery.
Abstract

Keywords:
congenital tracheal stenosisnursingpediatricpostoperative complicationstracheoplasty

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