Long- term outcomes of congenital tracheal stenosis after slide tracheoplasty
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In brief
In brief
This retrospective study reports favorable long-term outcomes following slide tracheoplasty for congenital tracheal stenosis in 33 patients with median 90-month follow-up. Most patients achieved sustained airway improvement with successful decannulation, though growth and developmental outcomes were influenced by associated genetic abnormalities rather than stenosis severity.
- Slide tracheoplasty for congenital tracheal stenosis demonstrates durable long-term results with sustained improvement in tracheal stenosis rates.
- Seven of 10 patients requiring postoperative tracheostomy were successfully decannulated at median 65 months, indicating good airway reconstruction.
- Growth impairment and psychomotor delay correlate with genetic abnormalities rather than stenosis severity, requiring multidisciplinary support.
- Long-term survival is excellent with only 1 death in 33 patients over median 90-month follow-up after slide tracheoplasty.
- Associated congenital anomalies, not the tracheal stenosis itself, are the primary drivers of developmental outcomes post-repair.
Written by the GCMD Library team from the article.
Abstract
Purpose
Long-term outcomes of slide tracheoplasty in patients with congenital tracheal stenosis (CTS) have rarely been reported. This study aimed to clarify the long-term outcomes of CTS after slide tracheoplasty.
Methods
The medical records of 33 patients who underwent slide tracheoplasty for CTS at our institution between January 2005 and July 2018, with a follow-up duration > 5 years, were retrospectively reviewed. Patients’ characteristics, perioperative condition, operative management, postoperative course, tracheal stenosis rates and growth data, were collected from medical records.
Results
The median operative age, minimum tracheal diameter, length of stenosis, duration of hospital stays, and follow-up duration were 8 months, 2.4 mm, 35 mm, 39 days, and 90 months, respectively. One patient died of bleeding in the right lung at 126 months postoperatively. Among the 10 patients requiring postoperative tracheostomy, seven were successfully decannulated at a median of 65 months postoperatively. Tracheal stenosis rates improved postoperatively and were subsequently maintained. Growth impairment and psychomotor delay were observed in 9 and 16 patients, respectively with significant differences found only in cases with genetic abnormalities and not in tracheal stenosis severity.
Conclusion
Slide tracheoplasty for CTS leads to favorable long-term outcomes. However, various associated anomalies may influence growth and psychomotor development, emphasizing the importance of adequate support.