Browsing by Author "Aaltonen, Panu"

Objectives: To analyse retrospectively population-based results of congenital tracheal stenosis repair in neonates and small children in Finland Methods: Data on infants and children who were operated for congenital tracheal stenosis in Helsinki Children`s Hospital (HCH) between August 1988 and May 2013, were analysed retrospectively. Fiberoptic bronchoscopy was performed perioperatively and in the follow-up in all patients. The median follow-up time was 7 years (range 1- 20years). Results: Thirteen children were operated for congenital tracheal stenosis. Resection with end-to-end anastomosis was used in 12 patients and slide tracheoplasty in one patient. The median age at the operation was 2.9 months (range, 6 days - 19 months). Eight patients (62%) had associated cardiovascular defects which were corrected during the same operation. The median length of stenosis was 35% (range, 25 - 60%) from the total length of the trachea. The median length of postoperative mechanical ventilation was 10 days (range, 5 - 19 days). The median length of intensive care treatment was 15 days (range, 7 - 40 days). One patient died due to hypoplastic lung tissue and fibrosis, and multiorgan failure. One patient required reoperation and three other patients needed balloon bronchodilatations postoperatively. There was no late mortality. All the 12 survivors had good outcome. Conclusion: Resection with end-to-end anastomosis presented a good long-term outcome with up to 55% of stenotic segment of the trachea.