TY - JOUR
T1 - Tracheal stenosis
T2 - The long and the short of it
AU - Acosta, Alfredo C.
AU - Albanese, Craig T.
AU - Farmer, Diana L
AU - Sydorak, Roman
AU - Danzer, Enrico
AU - Harrison, Michael R.
PY - 2000
Y1 - 2000
N2 - Purpose: The aim of this study was to present slide tracheoplasty as the procedure of choice for tracheal stenosis. From 1990 through 1997, patients referred to University of California, San Francisco for tracheal stenosis were managed by resection and anastomosis. During this period, other centers reported successful use of slide tracheoplasty and, from 1998 to 1999, we performed 3 slide tracheoplasties in addition to 3 more resection and anastomosis procedures. Methods: Between 1990 and 1999, 9 patients with tracheal stenosis of varying lengths underwent surgery at the University of California, San Francisco. They were treated surgically with either resection and anastomosis or with slide tracheoplasty. Results: Two of the 6 patients treated by resection and anastomosis had an anastomotic breakdown; all 3 patients undergoing slide tracheoplasty did not have anastomotic problems. Technically, a slide tracheoplasty has only one half the tension distributed over an oblique anastomosis that is more than the circumferential length of a resection and anastomosis approach. Conclusion: Based on these results, a slide tracheoplasty may be the procedure of choice for tracheal stenosis, whether long or short. Copyright (C) 2000 by W.B. Saunders Company.
AB - Purpose: The aim of this study was to present slide tracheoplasty as the procedure of choice for tracheal stenosis. From 1990 through 1997, patients referred to University of California, San Francisco for tracheal stenosis were managed by resection and anastomosis. During this period, other centers reported successful use of slide tracheoplasty and, from 1998 to 1999, we performed 3 slide tracheoplasties in addition to 3 more resection and anastomosis procedures. Methods: Between 1990 and 1999, 9 patients with tracheal stenosis of varying lengths underwent surgery at the University of California, San Francisco. They were treated surgically with either resection and anastomosis or with slide tracheoplasty. Results: Two of the 6 patients treated by resection and anastomosis had an anastomotic breakdown; all 3 patients undergoing slide tracheoplasty did not have anastomotic problems. Technically, a slide tracheoplasty has only one half the tension distributed over an oblique anastomosis that is more than the circumferential length of a resection and anastomosis approach. Conclusion: Based on these results, a slide tracheoplasty may be the procedure of choice for tracheal stenosis, whether long or short. Copyright (C) 2000 by W.B. Saunders Company.
KW - Slide tracheoplasty
KW - Tracheal stenosis
UR - http://www.scopus.com/inward/record.url?scp=0033765472&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033765472&partnerID=8YFLogxK
U2 - 10.1053/jpsu.2000.18330
DO - 10.1053/jpsu.2000.18330
M3 - Article
C2 - 11083434
AN - SCOPUS:0033765472
VL - 35
SP - 1612
EP - 1616
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 11
ER -