Congenital tracheobronchial stenosis

被引:50
作者
Hewitt, Richard J. [1 ]
Butler, Colin R. [1 ,2 ,3 ]
Maughan, Elizabeth F. [2 ,3 ]
Elliott, Martin J. [4 ]
机构
[1] Great Ormond St Hosp Children NHS Fdn Trust, Dept Ear Nose & Throat Surg, London, England
[2] UCL, Inst Child Hlth, Dept Paediat Surg, Stem Cell & Regernerat Med Grp, London, England
[3] UCL, UCL Resp, Lungs Living Res Ctr, Div Med, London, England
[4] Great Ormond St Hosp Children NHS Fdn Trust, Dept Cardiothorac Surg, London, England
关键词
Trachea; Congenital disease; Long-segment tracheal stenosis; Slide tracheoplasty; Transplantation; Stem cell; PERICARDIAL PATCH TRACHEOPLASTY; TRACHEAL STENOSIS; SLIDE TRACHEOPLASTY; PEDIATRIC TRACHEAL; BALLOON DILATATION; AIRWAY-OBSTRUCTION; BRONCHIAL STENOSIS; FOLLOW-UP; CHILDREN; MANAGEMENT;
D O I
10.1053/j.sempedsurg.2016.02.007
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Congenital tracheobronchial stenosis is a rare disease characterized by complete tracheal rings that can affect variable lengths of the tracheobronchial tree. It causes high levels of morbidity and mortality both due to the stenosis itself and to the high incidence of other associated congenital malformations. Successful management of this complex condition requires a highly individualized approach delivered by an experienced multidisciplinary team, which is best delivered within centralized units with the necessary diverse expertise. In such settings, surgical correction by slide tracheoplasty has become increasingly successful over the past 2 decades such that long-term survival now exceeds 88%, with normalization of quality of life scores for patients with non-syndrome-associated congenital tracheal stenosis. Careful assessment and planning of treatment strategies is of paramount importance for both successful management and the provision of patients and carers with accurate and realistic treatment counseling. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:144 / 149
页数:6
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