Congenital tracheobronchial stenosis

Semin Pediatr Surg. 2016 Jun;25(3):144-9. doi: 10.1053/j.sempedsurg.2016.02.007. Epub 2016 Feb 19.

Abstract

Congenital tracheobronchial stenosis is a rare disease characterized by complete tracheal rings that can affect variable lengths of the tracheobronchial tree. It causes high levels of morbidity and mortality both due to the stenosis itself and to the high incidence of other associated congenital malformations. Successful management of this complex condition requires a highly individualized approach delivered by an experienced multidisciplinary team, which is best delivered within centralized units with the necessary diverse expertise. In such settings, surgical correction by slide tracheoplasty has become increasingly successful over the past 2 decades such that long-term survival now exceeds 88%, with normalization of quality of life scores for patients with non-syndrome-associated congenital tracheal stenosis. Careful assessment and planning of treatment strategies is of paramount importance for both successful management and the provision of patients and carers with accurate and realistic treatment counseling.

Keywords: Congenital disease; Long-segment tracheal stenosis; Slide tracheoplasty; Stem cell; Trachea; Transplantation.

Publication types

  • Review

MeSH terms

  • Bronchi / abnormalities*
  • Bronchi / embryology
  • Bronchi / surgery
  • Bronchial Diseases* / diagnosis
  • Bronchial Diseases* / embryology
  • Bronchial Diseases* / genetics
  • Bronchial Diseases* / surgery
  • Bronchoscopy
  • Constriction, Pathologic* / diagnosis
  • Constriction, Pathologic* / embryology
  • Constriction, Pathologic* / genetics
  • Constriction, Pathologic* / surgery
  • Echocardiography
  • Humans
  • Plastic Surgery Procedures / methods
  • Tomography, Optical Coherence
  • Tomography, X-Ray Computed
  • Trachea / surgery
  • Tracheal Stenosis* / diagnosis
  • Tracheal Stenosis* / embryology
  • Tracheal Stenosis* / genetics
  • Tracheal Stenosis* / surgery
  • Treatment Outcome

Supplementary concepts

  • Tracheobronchial Stenosis, Congenital