Partial Sternotomy Technique Allows Use of Intraoperative Flexible Bronchoscope for Tracheomalacia Diagnosis

  • Zafer Turkyilmaz
  • Ramazan Karabulut Department of Pediatric Surgery, Gazi University Medical Faculty, Ankara
  • Ebru Ergenekon
  • Gokcen Emmez
  • Berrin Isik
  • Ibrahim Hirfanoglu
  • Teymursah Muradi
  • Melda Tas
  • Aysegul Simsek
  • Kaan Sonmez

Abstract

Tracheomalacia(TM)  is a structural abnormality of the tracheal cartilage causing collapse of its walls and airway obstruction.  We describe herein a  4 month–old case of TM associated with  operated esophageal atresia with tracheoesophageal fistula. Intraoperative flexible  bronchoscope was performed  for  diagnosis for TM     during aortopexy operation  via partial sternotomy .

References

Rijnberg FM, Butler CR, Bieli C, et al. Aortopexy for the treatment of tracheobronchomalacia in 100 children: a 10-year single-centre experience. Eur J Cardiothorac Surg 2018;54(3):585-92.

Torre M, Carlucci M, Speggiorin S, Elliott MJ. Aortopexy for the treatment of tracheomalacia in children: review of the literature. Ital J Pediatr 2012;38:62. doi: 10.1186/1824-7288-38-62.

Ngerncham M, Lee EY, Zurakowski D, Tracy DA, Jennings R. Tracheobronchomalacia in pediatric patients with esophageal atresia: comparison of diagnostic laryngoscopy/bronchoscopy and dynamic airway multidetector computed tomography. J Pediatr Surg 2015;50(3):402-7.

Fraga JC, Jennings RW, Kim PC. Pediatric tracheomalacia. Semin Pediatr Surg.2016;25(3):156-64.

Corbally MT, Spitz L, Kiely E, Brereton RJ, Drake DP. Aortopexy for tracheomalacia in oesophageal anomalies. Eur J Pediatr Surg 1993;3:264–6.

Abdel-Rahman U, Simon A, Ahrens P, Heller K, Moritz A, Fieguth HG. Aortopexy in infants and children--long-term follow-up in twenty patients. World J Surg 2007;31(11):2255-9.

Jennings RW, Hamilton TE, Smithers CJ, Ngerncham M, Feins N, Foker JE. Surgical approaches to aortopexy for severe tracheomalacia. J Pediatr Surg 2014;49(1):66-70; discussion 70-1.

Köylüoğlu G, Günay I, Ceran C, Berkan O. Pericardial flap aortopexy: an easy and safe technique in the treatment of tracheomalacia. J Cardiovasc Surg (Torino) 2002;43(2):295-7.

Published
2019-09-21
Section
Original Image