Novel Suture Technique for Slide Tracheoplasty for the Treatment of Long-Segment Tracheal Stenosis
Reilly D. Hobbs, M.D., M.B.S., John Murala, M.D., Richard G. Ohye, M.D..
University of Michigan, Ann Arbor, MI, USA.
Long-segment tracheal stenosis is a rare and life threatening condition due to complete tracheal rings that replace the normal posterior membranous trachea. Medical management is associated with nearly 50% mortality. Slide tracheoplasty is the surgical treatment of choice for children with long-segment tracheal stenosis but is associated with significant recurrent stenosis, figure-8 deformity, and granulation tissue formation. We have utilized a novel running everting suture method for patients undergoing slide tracheoplasty at our institution. Since utilizing this technique, there have been no clinically significant instances of recurrent stenosis, figure-8 deformity, or significant granulation tissue accumulation.
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