How successful is revision thoracic slide tracheoplasty (RTST) following unsuccessful prior tracheal reconstruction in the management of congenital tracheal stenosis?
Despite some differences in postoperative management when compared to non-revision cases, RTST can be successfully performed after prior tracheal reconstruction with good postoperative outcomes.
Explore this issue:September 2018
Background: Pediatric tracheal stenosis, most commonly caused by complete tracheal rings, is potentially lethal in the absence of repair due to the instability of the airway and the high incidence of cardiopulmonary comorbidities. Early surgical intervention is the mainstay for most children. Despite some successes, results are often unsatisfactory, and the potential for restenosis is high. Prognosis has improved dramatically using RTST and treatment outcomes have become more predictable.
Study design: Retrospective analysis of 26 patients undergoing TST on cardiopulmonary bypass between January 2005 and May 2014.