| Costal cartilage tracheoplasty for congenital long-segment tracheal stenosis. | |
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MedLine Citation:
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PMID: 12365888 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To evaluate and report the outcome of costal cartilage tracheoplasty for the treatment of congenital long-segment tracheal stenosis. DESIGN: Retrospective chart review. SETTING: Academic tertiary care children's hospital. PATIENTS: Consecutive series of 10 patients who presented with congenital long-segment tracheal stenosis. INTERVENTION: All patients underwent costal cartilage tracheoplasty while receiving cardiopulmonary bypass. MEASUREMENTS: Age at repair, weight at repair, length of stenosis, minimal diameter of stenosis, postoperative days receiving ventilator support, postoperative days until discharge, postoperative bronchoscopies, postoperative complications, associated anomalies, survival rate, and current status. RESULTS: There were 8 males and 2 females with an average age at repair of 18 weeks. Average weight was 5.2 kg. Average length of stenosis was 3.2 cm, and average minimal diameter was 1.9 mm. Average postoperative days receiving ventilator support was 17 with a median of 9.5. Average postoperative days until discharge was 35.2 with a median of 17. Average postoperative bronchoscopies was 18 with a median of 4.5. There was a 40% major postoperative complication rate. Seven of the patients had associated anomalies. No patient died from an inadequate tracheal airway, though 2 patients ultimately died from other cardiopulmonary complications for a survival rate of 80%. Average time since surgery for survivors is 8.0 years. Two patients still require treatment. Seven of the original 10 patients are fully active without tracheostomy. CONCLUSION: We report one of the largest series of costal cartilage tracheoplasty for congenital long-segment tracheal stenosis and one that has met with a relatively high success rate. |
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Authors:
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James W Forsen; Rodney P Lusk; Charles B Huddleston |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of otolaryngology--head & neck surgery Volume: 128 ISSN: 0886-4470 ISO Abbreviation: Arch. Otolaryngol. Head Neck Surg. Publication Date: 2002 Oct |
Date Detail:
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Created Date: 2002-10-07 Completed Date: 2002-11-04 Revised Date: 2006-03-28 |
Medline Journal Info:
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Nlm Unique ID: 8603209 Medline TA: Arch Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1165-71 Citation Subset: AIM; IM |
Affiliation:
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Division of Pediatric Otolaryngology, St Louis Children's Hospital, MO 63110, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Body Weight Cardiopulmonary Bypass Cartilage / pathology, surgery* Female Humans Infant Infant, Newborn Length of Stay Male Outcome Assessment (Health Care)* Retrospective Studies Survival Rate Trachea / pathology, surgery* Tracheal Stenosis / congenital*, mortality, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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