Tracheal stenosis: The long and the short of it
| Autor: | Alfredo C. Acosta, Michael R. Harrison, Roman M. Sydorak, Enrico Danzer, Craig T. Albanese, Diana L. Farmer |
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| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Anastomosis Risk Assessment Sensitivity and Specificity Severity of Illness Index Resection Tracheotomy Humans Medicine Child Survival rate Retrospective Studies business.industry Anastomosis Surgical Infant Newborn Follow up studies Infant Slide tracheoplasty Recovery of Function General Medicine medicine.disease Surgery Tracheal Stenosis Survival Rate Trachea Stenosis Treatment Outcome Child Preschool Pediatrics Perinatology and Child Health Female business Follow-Up Studies |
| Zdroj: | Journal of Pediatric Surgery. 35:1612-1616 |
| ISSN: | 0022-3468 |
| Popis: | 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 an astomosis 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. J Pediatr Surg 35:1612-1616. Copyright © 2000 by W.B. Saunders Company. |
| Databáze: | OpenAIRE |
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