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3 results

  • Application of slide tracheoplasty in children with congenital tracheal stenosis

  • Zhangwei Wang, Honghao Fu, Shoujun Li
  • Journal:
    Cardiology in the Young / Volume 35 / Issue 9 / September 2025
    Published online by Cambridge University Press:
    22 August 2025, pp. 1773-1781

  • Over the past two decades, there have been encouraging achievements in the surgical treatment of children with congenital tracheal stenosis. Slide tracheoplasty has become the standard surgical procedure for the correction of long-segment congenital tracheal stenosis with abnormal bronchial morphology in many medical centres around the world. Identification of the shape and degree of tracheal stenosis before operation is helpful to develop a better surgical strategy. Flexible application of slide tracheoplasty can effectively correct different types of congenital tracheal stenosis. Cardiopulmonary bypass and intraoperative fiberoptic bronchoscopy are helpful to improve the efficiency of surgery. Postoperative multidisciplinary cooperative management can improve the prognosis of children. Biodegradable scaffolds, tissue-engineered trachea, and 3D printing technology are based on a completely different perspective from traditional medicine. The initial attempts in the biomedical field provide a new idea for the treatment of congenital tracheal stenosis. This article reviews the classification, past and current situation, advantages, surgical indications, surgical techniques, prognosis, related risk factors, and prospects of slide tracheoplasty in the treatment of congenital tracheal stenosis in children.

  • Incidence and risk factor of vocal cord paralysis following slide tracheoplasty for congenital tracheal stenosis: a retrospective observational study

  • Part of
  • Naoki Kaneko, Tomomi Hasegawa
  • Journal:
    Cardiology in the Young / Volume 32 / Issue 4 / April 2022
    Published online by Cambridge University Press:
    12 July 2021, pp. 579-583
  • Background:

    Slide tracheoplasty for congenital tracheal stenosis (CTS) has been shown to improve post-operative outcomes, but the incidence and risk factors of vocal cord paralysis (VCP) following slide tracheoplasty remain unclear. This study aimed to review our experience of slide tracheoplasty for CTS with a focus on post-operative VCP.

    Methods:

    Twenty-eight patients, who underwent tracheal reconstruction with or without cardiovascular repair at Kobe Children’s Hospital between June, 2016 and March, 2020 were enrolled in this retrospective observational study. They were divided into two groups based on the presence of a pulmonary artery sling (PA sling). Perioperative variables were compared between the two groups.

    Results:

    Twenty-one of the 28 patients underwent concomitant repair for associated cardiovascular anomalies, including 15 patients with PA sling. The overall incidence of VCP following slide tracheoplasty was 28.6%. The incidences of VCP were 46.7% in patients with CTS and PA sling, which were 14.3% in CTS patients without cardiovascular anomalies. The only risk factor associated with VCP following slide tracheoplasty was a concomitant repair for PA sling. Post-operatively, the duration of nasogastric tube feeding in patients with VCP was significantly longer than that in patients without VCP.

    Conclusions:

    The incidence of VCP following slide tracheoplasty for CTS was high, especially in concomitant repair cases for PA sling. Routine screening and evaluation of VCP soon after post-operative extubation is required for its appropriate management.

  • Novel use of Coblation technology in an unusual congenital tracheal stenosis

  • G Sim, S Vijayasekaran
  • Journal:
    The Journal of Laryngology & Otology / Volume 128 / Issue S1 / January 2014
    Published online by Cambridge University Press:
    20 May 2013, pp. S55-S58
    Print publication:
    January 2014
  • Background:

    We report the case of an unusual late presentation of congenital tracheal stenosis in a 13-year-old boy. He was treated with minimally invasive Coblation resection of the stenotic segment, avoiding a major open tracheal resection and reconstruction. This case report is the first to document the use of an ultra-fine Coblation wand in the treatment of congenital tracheal stenosis.

    Results:

    The case proceeded well, without any complications. The patient had a fully healed and patent trachea at 12-week post-operative review.

    Conclusion:

    Complex cases of congenital stenosis should be managed with a multidisciplinary approach. Different and novel treatment options should be explored to find one that suits the individual patient. Minimally invasive Coblation technology can offer less invasive treatment with quicker recovery and shorter hospitalisation.