Advances in Pediatric Surgery

"Tracheomalacia"

Case Report

[English]

Congenital Tracheomalacia Associated with Esophageal Atresia: Seok Joo Han, Eun Joo Jung, Se Heon Kim, Choon Sik Yoon, Kyu Dae Shim, Yong Taek Nam, Jai Eok Kim, Eui Ho Hwang; J Korean Assoc Pediatr Surg 2002;8(2):161-165. Published online December 31, 2002; DOI: https://doi.org/10.13029/jkaps.2002.8.2.161

Abstract
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This is a case of tracheomalacia associated with esophageal atresia. An 11-month-old- male boy presented with a life-threatening apneic spell after correction of esophageal atresia (Gross type C). After complete exclusion of the other possible causes of the apneic spell, the presumptive diagnosis of tracheomalacia was made with fluoroscopy and 3-dimensional chest CT. The final diagnosis was made with rigid bronchoscopy under spontaneous respiration. The aortopexy was performed with intraoperative bronchoscopic examination. The postoperative period was unremarkably uneventful. The patient was discharged 9 days after the aortopexy and has remained well to date (5 months after the aortopexy).

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Original Article

[English]

Outcomes of Pediatric Airway Surgeries Performed by a Single Pediatric Surgeon: Jeon, Ho Jong , Ihn, Kyong , Ho, In Geol , Han, Seok Joo; Adv Pediatr Surg 2022;28(2):47-54.; DOI: https://doi.org/10.13029/aps.2022.28.2.47

Abstract
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Purpose
To report the clinical progress and findings seen in pediatric airway surgeries performed by a single pediatric surgeon.
Methods
We retrospectively reviewed 32 pediatric patients with various airway diseases who underwent surgical correction performed by a single pediatric surgeon between January 2005 and March 2021. Surgical indications depended on the presence and severity of respiratory symptoms. Surgical results were considered good if symptoms improved and normal respiration was possible without dependence on a ventilator or tracheostomy, without postoperative complications, at the last postoperative follow-up.
Results
A total of 32 patients who underwent airway surgery were diagnosed with 3 types of surgical airway diseases: tracheomalacia (n=19), subglottic stenosis (n=10), and tracheal stenosis (n=3). In the treatment for tracheomalacia, surgical efficacy was 88.2% for aortopexy and 100.0% for tracheopexy. The postoperative mortality rate of slide thyrocricotracheoplasty for subglottic stenosis and slide tracheoplasty for tracheal stenosis was 20.0%. The age at the time of all airway surgeries ranged from 1.0 to 127.6 months (median, 4.8 months). The postoperative follow-up period ranged from 1.2 months to 16.6 years (median, 4.5 years).
Conclusion
Severe pediatric airway diseases with obstructive symptoms are life-threatening and require surgical treatment. Pediatric airway surgery performed in this study by a single pediatric surgeon had similar or better outcomes than in previous studies. However, more accurate diagnostic methods and improved surgical procedures for pediatric airway diseases require development.