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后天性气管狭窄:颈滑动气管成形术。

Acquired tracheal stenosis: Cervical slide tracheoplasty.

机构信息

Division of Pediatric Otolaryngology - Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Division of Pediatric Otolaryngology - Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

出版信息

Semin Pediatr Surg. 2021 Jun;30(3):151058. doi: 10.1016/j.sempedsurg.2021.151058. Epub 2021 May 25.

Abstract

Acquired tracheal stenosis can result from iatrogenic injury or, less commonly, tracheal tumors. Symptoms can arise insidiously and typically include respiratory distress, sleep disordered breathing, or exercise intolerance. Diagnostic evaluation includes cross-sectional imaging and endoscopy. Various endoscopic and open procedures exist to address acquired tracheal stenosis and treatment should be tailored to the patient. Cervical slide tracheoplasty without cardiopulmonary bypass is a versatile technique that can address different types of tracheal stenosis. It allows for immediate reconstruction with vascularized tissue and continued opportunity for growth as the child ages, with high success rates with minimal morbidity.

摘要

获得性气管狭窄可由医源性损伤引起,或较少见地由气管肿瘤引起。症状可能隐匿出现,通常包括呼吸窘迫、睡眠呼吸障碍或运动不耐受。诊断评估包括横断面成像和内镜检查。存在各种内镜和开放手术来解决获得性气管狭窄,治疗应根据患者情况进行定制。无需体外循环的颈滑动气管成形术是一种多功能技术,可用于治疗不同类型的气管狭窄。它允许立即用血管化组织进行重建,并随着儿童年龄的增长继续提供生长机会,具有高成功率和最小的发病率。

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