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Management of congenital tracheal stenosis in the neonatal period

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Abstract

Purpose

Few reports have focused on the management of congenital tracheal stenosis (CTS) in the neonatal period. The aim of this study was to determine appropriate management strategies for CTS in the neonatal period.

Methods

The medical records of eight neonatal patients with CTS at a single institution between January 2007 and December 2016 were retrospectively reviewed.

Results

Three patients with frequent ventilatory insufficiency despite assisted ventilation underwent surgical intervention (balloon tracheoplasty: n = 1, slide tracheoplasty: n = 2). Ventilatory insufficiency improved after surgery in all three patients. One patient who underwent slide tracheoplasty died due to non-airway-related causes. Observation or conservative management was performed in five patients with minimal respiratory symptoms or stable ventilation under assisted ventilation. All five patients were safely managed non-operatively in the neonatal period.

Conclusion

Depending on the severity of ventilatory insufficiency, there are two management strategies for CTS in the neonatal period. Surgical intervention, such as balloon tracheoplasty or slide tracheoplasty, is indicated for patients with unstable ventilatory status despite assisted ventilation. Observation or conservative management is a more suitable option for neonates with stable ventilation.

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Acknowledgements

This research received no specific Grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Kobe Children’s Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan

    Keiichi Morita, Kosaku Maeda & Kiyoaki Yabe

  2. Department of Cardiovascular Surgery, Kobe Children’s Hospital, Kobe, Japan

    Yoshihiro Oshima

Authors
  1. Keiichi Morita
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  2. Kosaku Maeda
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  3. Kiyoaki Yabe
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  4. Yoshihiro Oshima
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Correspondence to Keiichi Morita.

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Morita, K., Maeda, K., Yabe, K. et al. Management of congenital tracheal stenosis in the neonatal period. Pediatr Surg Int 33, 1059–1063 (2017). https://doi.org/10.1007/s00383-017-4137-9

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  • DOI: https://doi.org/10.1007/s00383-017-4137-9

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