Long-term outcome after external tracheal stabilization due to congenital tracheal instability
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. - M...
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| Main Authors: | , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
19 February 2010
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| In: |
The annals of thoracic surgery
Year: 2010, Volume: 89, Issue: 3, Pages: 918-925 |
| ISSN: | 1552-6259 |
| DOI: | 10.1016/j.athoracsur.2009.11.066 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.athoracsur.2009.11.066 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0003497509023984 
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| Author Notes: | Sebastian Ley, Tsvetomir Loukanov, Julia Ley-Zaporozhan, Wolfgang Springer, Christian Sebening, Olaf Sommerburg, Siegfried Hagl, and Matthias Gorenflo |
| Summary: | 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. |
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| Item Description: | Gesehen am 14.03.2023 |
| Physical Description: | Online Resource |
| ISSN: | 1552-6259 |
| DOI: | 10.1016/j.athoracsur.2009.11.066 |