Pediatric tracheal surgery: indications, complications and results
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Le résumé fourni par la source
BACKGROUND: Pediatric tracheal surgery includes several complex and rare procedures. We report the surgical experience at our center. METHODS: Our center has multidisciplinary team manages laryngotracheal malformations. We retrospectively analyzed all tracheal surgeries from January 2009 to September 2023, excluding endoscopic cases and tracheostomy insertion, revision, or closure not related to reconstructive tracheal surgery. We evaluated diagnosis, comorbidities, type of surgery, need for tracheostomy, complications, death, outcome in terms of decannulation and adequate caliber airway. RESULTS: A total of 122 patients with a median age of 2.61 years (0-25.4 years) were operated for congenital (59.8%) or acquired (40.2%) tracheal pathology. The procedures performed were: cricothyroid resection (N.=18; 14.8%), laryngotracheal reconstruction with rib cartilage graft (N.=33; 27%), tracheal resection-anastomosis (N.=20; 16.4%), laryngotracheal cleft closure (N.=5; 4.1%), "slide tracheoplasty" (N.=15; 12.3%), posterior tracheopexy (N.=14; 11.5%); isolated tracheoesophageal fistula closure (N.=17; 13.9%). Depending on the type of operation, cardiac surgeons and otolaryngologists were involved. Preoperative tracheotomy was required in 54 patients and postoperative in 51 patients. We reported a mortality of 6.1%, or seven patients, four of whom died in the immediate postoperative period, but only one death was due to surgical causes. Other intraoperative complications were reported in two patients (1.6%) and postoperative complications in 34 patients (27.9%). Ninety-two patients (75.4%) were alive with adequate airway caliber and no need for tracheostomy. CONCLUSIONS: There are many indications for tracheal surgery and a multidisciplinary approach has been essential. Tracheal surgery is complex and potentially associated with major complications, but outcomes are generally satisfactory.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Pediatric tracheal surgery: indications, complications and results
- Date Crossref
- 01/04/2026
- Éditeur
- Edizioni Minerva Medica
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Istituto Giannina Gaslini pays non établi dans la noticeÉtablissement de santé
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University of Genoa Department of Neurosciences pays non établi dans la noticeUniversité ou école supérieure
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Istituti di Ricovero e Cura a Carattere Scientifico pays non établi dans la noticeÉtablissement de santé
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Children's Research Hospital pays non établi dans la noticeÉtablissement de santé
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Pediatric Surgery Unit pays non établi dans la noticeInstitution
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Otorhinolaryngology Unit pays non établi dans la noticeOrganisation à but non lucratif
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Gaslini Children's Hospital Pulmonary Diseases Unit pays non établi dans la noticeÉtablissement de santé
Istituto Giannina Gaslini, Department of Neurosciences — University of Genoa et Istituti di Ricovero e Cura a Carattere Scientifico, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.