Slide Tracheoplasty: Complete Tracheal Rings and Beyond

Otolaryngol Clin North Am. 2022 Dec;55(6):1253-1270. doi: 10.1016/j.otc.2022.07.014.

Abstract

Congenital tracheal stenosis is a rare but potentially life-threatening condition that is most commonly caused by complete tracheal rings. Slide tracheoplasty was initially introduced as a surgical treatment for congenital tracheal stenosis in 1989 and has significantly improved outcomes and overall survival rates for these patients. It has subsequently been adapted to treat other conditions such as laryngotracheal stenosis, tracheoesophageal fistula, and bronchial stenosis. This article reviews the history, the variety of applications, perioperative management, surgical techniques, potential complications, and new frontiers in slide tracheoplasty surgery.

Keywords: Complete tracheal rings; Management; Pediatric airway; Slide tracheoplasty; Surgical planning; Surgical technique; Tracheal stenosis.

Publication types

  • Review

MeSH terms

  • Constriction, Pathologic
  • Humans
  • Infant
  • Plastic Surgery Procedures* / methods
  • Retrospective Studies
  • Trachea / surgery
  • Tracheal Stenosis* / surgery
  • Treatment Outcome

Supplementary concepts

  • Tracheal agenesis