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- Title
Non-operative management of congenital tracheal stenosis: criteria by computed tomography.
- Authors
Yamoto, Masaya; Fukumoto, Koji; Sekioka, Akinori; Iwazaki, Teruo; Sano, Kyouhei; Takahashi, Toshiaki; Nakaya, Kengo; Nomura, Akiyoshi; Yamada, Yutaka; Urushihara, Naoto
- Abstract
<bold>Objectives: </bold>Whether to perform surgical or conservative treatment for congenital tracheal stenosis (CTS) is controversial. Thus, the computed tomography (CT) criteria for conservative treatment of CTS were investigated.<bold>Methods: </bold>From 2005 to 2017, 28 CTS cases were included. The operative cases and preoperative death cases constituted the required intervention group (group I), and the non-operative surviving cases constituted the observation group (group O). The diameter of the tracheal narrowest part (DTNP) on CT was evaluated as a criterion for non-operative follow-up.<bold>Results: </bold>Chest CT was performed 19 times in 19 group I cases and 18 times in 9 group O cases. The median age of the patients that underwent CT scan examinations was 3.4 months (range 0-25 months) in group I and 22 months (range 0-60 months) in group O. The cut-off values of the non-operative criteria were 40.8% (AUC: 0.82, p < .01) normal for age of the trachea's narrowest part, and 41.6% normal for body weight (AUC: 0.92, p < .01), respectively.<bold>Conclusions: </bold>DTNP is 40% and more of the normal diameter appears necessary for non-surgical management. The present study suggests that the criteria for conservative management of CTS are that the DTNP is not less than 40% of the normal tracheal diameter, with a few symptoms.
- Subjects
COMPUTED tomography; STENOSIS; BODY weight; FETOSCOPY; TRACHEA; TRACHEAL diseases; DISEASE management; TREATMENT effectiveness; RETROSPECTIVE studies; MULTIDETECTOR computed tomography
- Publication
Pediatric Surgery International, 2019, Vol 35, Issue 10, p1123
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-019-04532-y