International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Evaluation and management of congenital tracheal stenosis

Douglas R Sidell; Kara D Meister; Alessandro de Alarcon; An Boudewyns; Matthew Brigger; Robert Chun; Pierre Fayoux; Steven Goudy; Catherine K Hart; Richard Hewitt; Wei-Chung Hsu; Luv R Javia; Romaine F Johnson; Anna H Messner; Eric Moreddu; Richard Nicollas; Jeremy D Prager; Reza Rahbar; Scott Rickert; Marie-Eva Rossi; John Russell; Michael Rutter; Kishore Sandu; Richard J H Smith; Marlene Soma; Briac Thierry; Marilena Trozzi; David R White; Karthik Balakrishnan

doi:10.1016/j.ijporl.2022.111251

International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Evaluation and management of congenital tracheal stenosis

Int J Pediatr Otorhinolaryngol. 2022 Oct:161:111251. doi: 10.1016/j.ijporl.2022.111251. Epub 2022 Aug 17.

Authors

Douglas R Sidell¹, Kara D Meister¹, Alessandro de Alarcon², An Boudewyns³, Matthew Brigger⁴, Robert Chun⁵, Pierre Fayoux⁶, Steven Goudy⁷, Catherine K Hart², Richard Hewitt⁸, Wei-Chung Hsu⁹, Luv R Javia¹⁰, Romaine F Johnson¹¹, Anna H Messner¹², Eric Moreddu¹³, Richard Nicollas¹³, Jeremy D Prager¹⁴, Reza Rahbar¹⁵, Scott Rickert¹⁶, Marie-Eva Rossi¹⁷, John Russell¹⁸, Michael Rutter², Kishore Sandu¹⁹, Richard J H Smith²⁰, Marlene Soma²¹, Briac Thierry²², Marilena Trozzi²³, David R White²⁴, Karthik Balakrishnan²⁵

Affiliations

¹ Stanford Children's Health Aerodigestive and Airway Reconstruction Program and Stanford University, Stanford, CA, USA.
² Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
³ Antwerp University Hospital, University of Antwerp, Belgium.
⁴ Rady Children's Hospital and University of California San Diego, San DIego, CA, USA.
⁵ Medical College of Wisconsin, Milwaukee, WI, USA.
⁶ Hôpital Jeanne de Flandre, CHRU, Lille, France.
⁷ Emory University and Children's Healthcare of Atlanta, Atlanta, GA, USA.
⁸ Great Ormond Street Hospital, London, UK.
⁹ National Taiwan University Hospital and Children's Hospital, Taiwan.
¹⁰ Children's Hospital of Philadelphia, Philadelphia, PA, USA.
¹¹ UT Southwestern Medical Center, Dallas, TX, USA.
¹² Baylor College of Medicine, Houston, TX, USA.
¹³ Dept of Pediatric Otolaryngology Head and Neck Surgery, Hôpital La Timone Enfants, Marseille, France.
¹⁴ Children's Hospital Colorado, University of Colorado, Denver, CO, USA.
¹⁵ Boston Children's Hospital, Boston, MA, USA.
¹⁶ NYU Langone Medical Center, New York, NY, USA.
¹⁷ AP-HM, Hôpital La Timone Enfants, Marseille, France.
¹⁸ Children's Health Ireland (Crumlin), Trinity College Dublin, Dublin, Ireland.
¹⁹ Lausanne University Hospital, CHUV, Lausanne, Switzerland.
²⁰ University of Iowa, Iowa City, IA, USA.
²¹ Sydney Children's Hospital, Edgecliff, NSW, Australia.
²² Necker Enfants Malades Hospital - Assistance Publique Hôpitaux de Paris, Paris, France.
²³ Bambino Gesù Children's Hospital, Rome, Italy.
²⁴ Medical University of South Carolina, Charleston, SC, USA.
²⁵ Stanford Children's Health Aerodigestive and Airway Reconstruction Program and Stanford University, Stanford, CA, USA. Electronic address: kbala@stanford.edu.

PMID: 35988373
DOI: 10.1016/j.ijporl.2022.111251

Abstract

Objectives: To outline an expert-based consensus of recommendations for the diagnosis and management of pediatric patients with congenital tracheal stenosis.

Methods: Expert opinions were sought from members of the International Pediatric Otolaryngology Group (IPOG) via completion of an 18-item survey utilizing an iterative Delphi method and review of the literature.

Results: Forty-three members completed the survey providing recommendations regarding the initial history, clinical evaluation, diagnostic evaluation, temporizing measures, definitive repair, and post-repair care of children with congenital tracheal stenosis.

Conclusion: These recommendations are intended to be used to support clinical decision-making regarding the evaluation and management of children with congenital tracheal stenosis. Responses highlight the diverse management strategies and the importance of a multidisciplinary approach to care of these patients.

Keywords: Airway; Airway reconstruction; Congenital; Stridor; Tracheal stenosis; Tracheoplasty.

Publication types

Review

MeSH terms

Child
Consensus
Constriction, Pathologic
Humans
Infant
Otolaryngology*
Plastic Surgery Procedures* / methods
Trachea / abnormalities
Trachea / surgery
Tracheal Stenosis / congenital
Treatment Outcome

Supplementary concepts

Congenital tracheal stenosis
Tracheal agenesis