Indirect management of full-thickness tracheal erosion in a complex pediatric patient

Prolonged tracheostomy dependence in pediatric patients can be associated with significant complications, including damage to the tracheal wall requiring reconstruction. We present a case of an 8 year-old female with full-thickness tracheal erosion secondary to the presence of a tracheostomy tube co...

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Bibliographic Details
Published in:	International journal of pediatric otorhinolaryngology Vol. 107; pp. 155 - 159
Main Authors:	Trousdale, William H., Boesch, R. Paul, Orvidas, Laura J., Balakrishnan, Karthik
Format:	Journal Article
Language:	English
Published:	Ireland Elsevier B.V 01-04-2018
Subjects:	Pediatric tracheostomy dependence Tracheal erosion Tracheal repair Tracheal repair Pediatric tracheostomy dependence Tracheal erosion
Online Access:	Get full text
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Summary:	Prolonged tracheostomy dependence in pediatric patients can be associated with significant complications, including damage to the tracheal wall requiring reconstruction. We present a case of an 8 year-old female with full-thickness tracheal erosion secondary to the presence of a tracheostomy tube combined with a narrow thoracic inlet. A direct tracheal reconstruction was considered but eliminated due to the poor tissue quality of the trachea. Instead, a multi-disciplinary surgical team conceived of a novel indirect approach to manage the patient's tracheal defect. To our knowledge the use of indirect repair of a full-thickness tracheal defect has not been reported in the literature.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0165-5876 1872-8464
DOI:	10.1016/j.ijporl.2018.02.011