Skip to main content
Log in

Tracheal growth in congenital tracheal stenosis

  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Two cases of congenital tracheal stenosis were managed conservatively despite mild to moderate initial respiratory symptomatology in infancy. Serial CT examinations were performed on each child, with tracheal dimensions and cross-sectional areas measured in the region of stenosis at each CT examination. The examinations document increases in tracheal cross-sectional area in the region of stenosis over time, confirming tracheal cartilage growth. We present these data to dispel the hypothesis that tracheal growth does not occur in complete-ring tracheal stenosis. The selection of cases for surgical repair must be considered with the knowledge that this anomaly does not carry an inevitably poor prognosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Cohen SR, Landing BH (1976) Tracheostenosis and bronchial abnormalities associated with pulmonary artery sling. Ann Otol Rhinol Laryngol 85: 582–590

    PubMed  Google Scholar 

  2. Berdon WE, Baker DH, Wing JT, Chrispin A, Kozlowski K, de Silva M, Bales P, Alford B (1984) Complete cartilage-ring tracheal stenosis associated with anomalous left pulmonary artery: the ring-sling complex. Radiology 152: 57–64

    PubMed  Google Scholar 

  3. Jonas RA, Spevak PJ, McGill T, Castaneda AR (1989) Pulmonary artery sling: primary repair by tracheal resection in infancy. J Thorac Cardiovasc Surg 97: 444–447

    Google Scholar 

  4. Lobe TE, Hayden CK, Nicolas D, Richardson CH (1987) Successful management of congenital tracheal stenosis in infancy. J Pediatr Surg 22: 1137–1142

    PubMed  Google Scholar 

  5. Minato N, Itoh K, Ohkawa Y, Matsunaga H, Nagata N, Fukatsu O (1986) Surgical treatment of congenital distal tracheal stenosis involving the carina. Am J Thorac Surg 42: 326–328

    Google Scholar 

  6. Weber TR, Eigen H, Scott PH, Krishma G, Grosfeld (1982) Resection of congenital tracheal stenosis involving the carina. J Thorac Cardiovasc Surg 84: 200–203

    PubMed  Google Scholar 

  7. Murphy PM, Lloyd-Thomas A, Elliott M (1990) Management of congenital tracheal stenosis in infants. Br J Hosp Med 94: 266–270

    Google Scholar 

  8. Loeff DS, Filler RM, Vinograd I, Fin SH, Williams WG, Smith CR, Bahonic A (1988) Congenital tracheal stenosis: a review of 22 patients from 1965 to 1987. J Pediatr Surg 23: 744–748

    PubMed  Google Scholar 

  9. Idriss FS, Deleon SY, Ilbawi MN, Gerson CR, Tucker GF, Holujer L (1984) Tracheoplasty with pericardial patch for extensive tracheal stenosis in infants and children. J Thorac Cardiovasc Surg 88:527–536

    PubMed  Google Scholar 

  10. Cantrell JR, Guild H (1964) Congenital stenosis of the trachea. Am J Surg 108: 297–305

    PubMed  Google Scholar 

  11. Grillo HC, Zannini P (1984) Management of obstructive tracheal disease in children. J Pediatr Surg 19: 414–416

    PubMed  Google Scholar 

  12. Griscom NT (1982) Computed tomographic determination of tracheal dimensions in childhood and adolescents. Radiology 145: 361–364

    PubMed  Google Scholar 

  13. Griscom NT (1991) CT measurement of the tracheal lumen in children and adolescents. AIR 156: 371–372

    Google Scholar 

  14. Wolman IJ (1941) Congenital stenosis of the trachea. Am J Dis Child 61: 1263–1271

    Google Scholar 

  15. Johnson DG (1991) Tracheal stenosis. In: Current concepts in general thoracic surgery. Pediatric thoracic surgery. Elsevier, New York, pp 151–163

    Google Scholar 

  16. Benjamin B, Pitkin J, Cohen D (1981) Congenital tracheal stenosis. Ann Otol Rhinol Laryngol 90: 364–371

    PubMed  Google Scholar 

  17. Campbell DW, Lilly JR (1986) Surgery for total congenital tracheal stenosis. J Pediatr Surg 21: 934–935

    PubMed  Google Scholar 

  18. Delorimier AA, Harrison MR, Hardy K, Howell LJ, Adzick NS (1990) Tracheobronchial obstruction in infants and children. Ann Surg 212: 277–289

    PubMed  Google Scholar 

  19. Healey GB, Jonas RA, Schuster SR, McGill TJI (1988) Correction of segmental tracheal stenosis in children. Ann Otol Rhinol Laryngol 97: 444–447

    PubMed  Google Scholar 

  20. Griscom NT, Wohl MEB (1986) Dimensions of the growing trachea related to age and gender. AJR 146: 233–237

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Manson, D., Filler, R. & Gordon, R. Tracheal growth in congenital tracheal stenosis. Pediatr Radiol 26, 427–430 (1996). https://doi.org/10.1007/BF01387321

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01387321

Keywords

Navigation