Evolution of Surgical Approaches in the Management of XXXX : Single-Center Experience.

@entity1 @entity154 @entity358 @entity9933 @entity850 @entity204
BACKGROUND: @entity9933 ( @entity9933 ) is a serious and rare condition that often presents a complex surgical challenge. We reviewed the evolution of surgical approaches to the management of @entity9933 at a single institution. METHODS: We conducted a retrospective clinical review of all @entity1 who underwent surgical repair of @entity9933 at our institution. From January 1992 to January 2014, a total of 30 @entity1 (median age 92 days; range 3 days-1.7 years) underwent surgery for @entity9933 at our institution. Techniques included slide tracheoplasty (n = 16), tracheal resection (n = 10), pericardial patch tracheoplasty (n = 3), and costal cartilage tracheoplasty (n = 1). Twenty-two (73%) @entity1 had associated @entity154 , including 18 (60%) with @entity358 sling. Five (17%) @entity1 had associated @entity358 . All procedures were performed via a median sternotomy with cardiopulmonary bypass. RESULTS: Median postoperative length of stay was 25 days (range, 5-431 days). Late airway reintervention was required in seven (26%), including two (15%) @entity1 after slide tracheoplasty, two (22%) posttracheal resection, and two (100%) post pericardial patch tracheoplasty. The one @entity1 who underwent costal cartilage tracheoplasty required multiple reinterventions. Overall mortality was 13% (n = 4), two @entity204 occurred post slide tracheoplasty, one @entity204 occurred after tracheal resection, and one after pericardial patch tracheoplasty, respectively. CONCLUSION: Slide tracheoplasty is the procedure of choice for repair of @entity9933 , while tracheal resection is a viable option for @entity1 with discreet, short-segment @entity850 .
