Abstract
Congenital bronchial stenosis is a very uncommon condition in children. A full-term
neonate showed severe respiratory distress soon after birth. Bronchoscopy and spiral
computed tomography with multiplanar reconstruction disclosed a short stenosis of
the left main bronchus, next to the carina, and another stenosis in the intermediate
bronchus with air trapping in the right middle and lower lobes. The child underwent
resection and reconstruction of the left main bronchus, and right middle and lower
lobectomies after a failed attempt of bronchoscopic dilatation of the intermediate
bronchus. A temporary silicon tracheal stent was necessary to achieve permanent extubation.
The patient was discharged in good condition without any oxygen dependency and remains
asymptomatic 1 year after surgery. Management of children with airway stenosis is
complex, and surgeons involved in it should be familiar with multiple surgical and
endoscopic techniques. A team approach in a referral center is the best option to
achieve an optimal result.
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References
- Tracheal surgery in children: an 18 year review of four techniques.Eur J Cardiothorac Surg. 2001; 19: 777-784
- Patterns of management of congenital tracheal stenosis.J Pediatr Surg. 2003; 38: 1452-1458
- The management of congenital tracheal stenosis.Int J Pediatr Otorhinolaryngol. 2003; 67: 183-192
- Laryngotracheal reconstruction in congenital laryngeal webs and atresias.Otolaryngol Head Neck Surg. 2005; 132: 232-238
- Nonoperative management of complete tracheal rings.Arch Otolaryngol Head Neck Surg. 2004; 130: 450-452
- Surgery of the trachea.Curr Probl Surg. 1998; 35: 453-542
- Pediatric tracheal surgery.Chest Surg Clin N Am. 2003; 13: 305-314
- Management of congenital tracheal stenosis by means of slide tracheoplasty or resection and reconstruction, with long term follow up of growth after slide tracheoplasty.J Thorac Cardiovasc Surg. 2002; 123: 145-152
- Bronchoplasty for bronchial stenosis in a neonate: a case report.J Pediatr Surg. 2004; 39: e6-e8
- Current morbidity, mortality, and survival after bronchoplastic procedures for malignancy.Ann Thorac Surg. 1992; 54: 387-391
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© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
