Management of congenital tracheal stenosis in the neonatal period
| Autor: | Kiyoaki Yabe, Kosaku Maeda, Keiichi Morita, Yoshihiro Oshima |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Balloon 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Pediatric surgery medicine Humans Single institution Retrospective Studies business.industry Congenital tracheal stenosis Medical record Infant Newborn Retrospective cohort study Slide tracheoplasty General Medicine Plastic Surgery Procedures Respiration Artificial Surgery Treatment Outcome 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Breathing Female Tracheal Stenosis business |
| Zdroj: | Pediatric Surgery International. 33:1059-1063 |
| ISSN: | 1437-9813 0179-0358 |
| DOI: | 10.1007/s00383-017-4137-9 |
| Popis: | Few reports have focused on the management of congenital tracheal stenosis (CTS) in the neonatal period. The aim of this study was to determine appropriate management strategies for CTS in the neonatal period. The medical records of eight neonatal patients with CTS at a single institution between January 2007 and December 2016 were retrospectively reviewed. Three patients with frequent ventilatory insufficiency despite assisted ventilation underwent surgical intervention (balloon tracheoplasty: n = 1, slide tracheoplasty: n = 2). Ventilatory insufficiency improved after surgery in all three patients. One patient who underwent slide tracheoplasty died due to non-airway-related causes. Observation or conservative management was performed in five patients with minimal respiratory symptoms or stable ventilation under assisted ventilation. All five patients were safely managed non-operatively in the neonatal period. Depending on the severity of ventilatory insufficiency, there are two management strategies for CTS in the neonatal period. Surgical intervention, such as balloon tracheoplasty or slide tracheoplasty, is indicated for patients with unstable ventilatory status despite assisted ventilation. Observation or conservative management is a more suitable option for neonates with stable ventilation. |
| Databáze: | OpenAIRE |
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