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Arch Otolaryngol Head Neck Surg. 2012 Sep;138(9):812-6. doi: 10.1001/archoto.2012.1768.

Cervical slide tracheoplasty.

Author information

  • 1Division of Pediatric Otolaryngology-Head and Neck Surgery and Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. alessandro.dealarcon@cchmc.org

Abstract

OBJECTIVE:

To describe our experience with cervical slide tracheoplasty (CST) in managing complex laryngotracheal disorders.

DESIGN:

Retrospective analysis.

SETTING:

Quaternary care pediatric institution.

PATIENTS:

The study included 29 patients who underwent CST without cardiopulmonary bypass at our institution from January 2003 to January 2011.

MAIN OUTCOME MEASURE:

Surgery-specific and overall operative success.

RESULTS:

The most common airway lesion in our cohort of 29 patients (mean age, 10.7 years) was tracheal stenosis (n = 18); 10 of 18 patients had long-segment acquired tracheal stenosis. Operation-specific success was achieved in 23 of 29 patients (79%), including all 10 patients with long-segment acquired tracheal stenosis. Six patients failed initial CST and required additional surgical procedures. Overall success was achieved in 3 of these patients. Patients with subglottic stenosis (n = 7), concomitant glottic stenosis (n = 4), and multilevel airway lesions (n = 10) had lower operation-specific and overall operative success than did patients with other airway lesions. Four patients (14%) experienced complications.

CONCLUSIONS:

Cervical slide tracheoplasty is a valuable technique that should be added to the surgical armamentarium for patients requiring open airway reconstruction. This technique yields a high success rate in treating patients with a broad spectrum of complex laryngotracheal disorders.

PMID:
22986713
[PubMed - indexed for MEDLINE]
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