Long-term outcome after external tracheal stabilization due to congenital tracheal instability

• Verfasst von: Ley, Sebastian [VerfasserIn]
• Verfasst von: Loukanov, Tsvetomir [VerfasserIn]
• Verfasst von: Ley-Zaporozhan, Julia [VerfasserIn]
• Verfasst von: Springer, Wolfgang [VerfasserIn]
• Verfasst von: Sebening, Christian [VerfasserIn]
• Verfasst von: Sommerburg, Olaf [VerfasserIn]
• Verfasst von: Hagl, Siegfried [VerfasserIn]
• Verfasst von: Gorenflo, Matthias [VerfasserIn]
• Titel: Long-term outcome after external tracheal stabilization due to congenital tracheal instability
• Verf.angabe: Sebastian Ley, Tsvetomir Loukanov, Julia Ley-Zaporozhan, Wolfgang Springer, Christian Sebening, Olaf Sommerburg, Siegfried Hagl, and Matthias Gorenflo
• E-Jahr: 2010
• Jahr: 19 February 2010
• Umfang: 8 S.
• Fussnoten: Gesehen am 14.03.2023
• Titel Quelle: Enthalten in: The annals of thoracic surgery
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1965
• Jahr Quelle: 2010
• Band/Heft Quelle: 89(2010), 3, Seite 918-925
• ISSN Quelle: 1552-6259
• DOI: doi:10.1016/j.athoracsur.2009.11.066
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1839093188

Abstract

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.