Slide tracheoplasty for congenital tracheal stenosis: A case report

Gerald S. Lipshutz, Russell W. Jennings, John B. Lopoo, Diana L Farmer, Michael R. Harrison, Craig T. Albanese

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Background/Purpose: A variety of techniques have been used to manage pediatric congenital tracheal stenosis. The authors report the technique of slide tracheoplasty for a child with long congenital tracheal stenosis. Methods: A 2-year-old male presented with a history of stridor with feeding. Bronchoscopy findings showed 50% stenosis from complete cartilaginous rings, extending from 2.5 cm below the vocal cords to 2 cm above the carina. Through a neck incision, the trachea was exposed from the cricoid to both bronchi and transected at the midpoint of the stenosis. The upper trachea was split anteriorly to the area of stenosis just below the cricoid. The lower trachea was split posteriorly in the midline. Posterior dissection allowed sliding and anastomosis of both tracheal segments while the lateral vascular supply was left intact. A brace was placed to maintain cervical flexion, and the patient underwent extubation in the operating room. Results: He recovered without complication and was discharged on postoperative day 4. Conclusion: Slide tracheoplasty offers several advantages for tracheal reconstruction because it is performed with the native tracheal tissues, can be accomplished through a transverse collar incision, and can repair long stenoses without significant tracheal shortening. Copyright (C) by W.B. Saunders Company.

Original languageEnglish (US)
Pages (from-to)259-261
Number of pages3
JournalJournal of Pediatric Surgery
Volume35
Issue number2
StatePublished - Feb 2000

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Keywords

  • Congenital tracheal stenosis
  • Slide tracheoplasty

ASJC Scopus subject areas

  • Surgery

Cite this

Lipshutz, G. S., Jennings, R. W., Lopoo, J. B., Farmer, D. L., Harrison, M. R., & Albanese, C. T. (2000). Slide tracheoplasty for congenital tracheal stenosis: A case report. Journal of Pediatric Surgery, 35(2), 259-261.