Document Detail


Long-term outcome after external tracheal stabilization due to congenital tracheal instability.
MedLine Citation:
PMID:  20172154     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Long-segment tracheobronchial malacia may cause life-threatening dysfunction of the airway system at different levels. This study presents the long-term follow-up (1992 through 2008) of patients who received surgical treatment with external tracheal stabilization in our institution. METHODS: Eleven patients fulfilled the inclusion criteria. In surviving patients who presented for reexamination, pulmonary function testing, ergometry, and magnetic resonance imaging (MRI) were performed. RESULTS: All patients could be weaned from the ventilator and discharged. Patients were aged a median 11 months (range, 3 to 48 months) at operation for tracheal compression. Age at follow-up was 9.1 years (range, 0.5 to 16.3 years). Median follow-up was 7.3 years (range, 0.1 to 15.1 years). Postoperatively, 1 patient was lost to follow-up, and 4 died at 2.6 years (range, 0.5 to 6.6 years) of comorbidities. Pulmonary function testing showed a moderate residual airflow restriction, with maximal vital capacity at 75% of normal (range, 45% to 92%). Treadmill exercise testing demonstrated 70% to 89% of the expected normal values for age. Magnetic resonance imaging examination confirmed tracheal patency, but the lumen of the left main bronchus in 2 patients was 50% smaller than on the right. Diaphragmatic motion was normal in all patients. CONCLUSIONS: Children with congenital tracheal stenosis benefit from external tracheal stabilization. Survival in patients after external tracheal stabilization is significantly influenced by concomitant conditions.
Authors:
Sebastian Ley; Tsvetomir Loukanov; Julia Ley-Zaporozhan; Wolfgang Springer; Christian Sebening; Olaf Sommerburg; Siegfried Hagl; Matthias Gorenflo
Related Documents :
24144384 - Diagnosing the severity of buccal caries lesions in governmental and private orthodonti...
18791494 - Prognostic importance of increased plasma amino-terminal pro-brain natriuretic peptide ...
20195404 - Clinical meaning of early oxygenation improvement in severe acute respiratory distress ...
12386574 - Optimization of mechanical ventilation support following cardiac surgery.
21105974 - Voriconazole versus natamycin as primary treatment in fungal corneal ulcers.
17778294 - The ediacarian period and syste: metazoa inherit the earth.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  918-25     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Diagnostic and Interventional Radiology, Section of Pediatric Radiology, University Children's Hospital, Im Neuenheimer Feld 430, Heidelberg, Germany. ley@gmx.net
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Bronchoscopy
Child, Preschool
Exercise Test
Female
Follow-Up Studies
Humans
Infant
Magnetic Resonance Imaging
Male
Polytetrafluoroethylene
Prostheses and Implants*
Respiratory Function Tests
Trachea*
Tracheomalacia / congenital*,  diagnosis,  physiopathology,  surgery*
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Masaoka Stage and Histologic Grade Predict Prognosis in Patients With Thymic Carcinoma.
Next Document:  A Thoracic Surgeon-Directed Tobacco Cessation Intervention.