[Circular tracheal resection in a 9-year-old child with posttracheotomy cicatricial stenosis with tracheomalacia: the first experience in the Siberian Federal District].

Abstract

Acquired cicatricial stenosis in children most often occurs in subglottic region of the larynx and cervical trachea. It is associated with prolonged intubation and tracheostomy. Optimal surgical correction of cicatricial stenosis and treatment algorithm in standard cases in adults are largely determined. However, there are no clear criteria for surgical options in children. In most cases, surgical treatment of acquired cicatricial stenosis of the larynx and trachea in children under primary school age implies intraluminal endoscopic recanalization and reconstruction of cicatricial tissue for adequate breathing. We present circular tracheal resection in a 9-year-old child with post-tracheostomy cicatricial stenosis of the trachea and tracheomalacia, as well as features of perioperative support.