Expert Technique: Pediatric Tracheal Surgery. Issue 3 (May 2021)

• Record Type: Journal Article
• Authors: Stephens, Elizabeth H.; Wiedermann, Joshua P.; Dearani, Joseph A.; Backer, Carl L.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 12:Issue 3(2021)
• Page Start: 414
• Page End: 417
• Publication Date: 2021-05
• Subjects: complete tracheal rings -- tracheal stenosis -- slide tracheoplasty -- tracheal resection; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/21501351211000293
• Languages: English
• ISSNs: 2150-1351

Abstract

Substantial improvements in techniques of tracheal surgery for children have occurred in the past 20 years. Precise preoperative imaging with computed tomography clearly defines the anatomy for surgical planning and is assisted by on-the-table needle localization. The use of cardiopulmonary bypass greatly facilitates creation of an airtight, widely patent trachea. The use of Ciprodex as a postoperative nebulizer has significantly decreased granulation tissue along the suture line. Most important has been the adoption of slide tracheoplasty as the procedure of choice.