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Table 2 Patient's clinical history, management and follow-up

From: Gaslini's tracheal team: preliminary experience after one year of paediatric airway reconstructive surgery

 

Sex Age

Diagnosis

Tracheostomy pre-surgery

Type of Surgery

Tracheostomy

maintenance post-surgery

Days of intubation

Following surgery

Decannulation

Outcome

1

F/7 years

Acquired subglottic stenosis grade 4°

+

CTR

+

3

Endoscopic removal of granuloma

+

Good

2

F/6 months

Congenital subglottic stenosis grade 2°

-

LTP

-

5

-

+

Good

3

M/5 years

Tracheal inflammatory myofibroblastic tumor

+

TR

-

2

Endoscopic removal of granuloma and tracheal dilatation

+

Good

4

F/13 years

Acquired trans-glottic stenosis grade 4°

+

ECTR

+

3

-

-

Patent airway*

5

M/5 months

Acquired

subglottic stenosis grade 3°

+

LTP

-

Failed extubation

CTR and tracheal dilatation

+

Good

6

F/8 months

Congenital subglottic stenosis grade 3° and tracheomalacia

-

CTR

-

7

-

+

Good

7

F/10 months

Laryngo-tracheal cleft grade 3°, oesophageal atresia type 3

+

LTCC

-

0

Aortopexy

+

Cleft closed**

8

F/11 years

Foreign body inhalation

-

Open removal in CEC

-

3

Surgical drainage of subcutaneous infection

+

Good

  1. (CTR, cricotracheal resection; LTP, laryngotracheoplasty; TR, tracheal resection; ECTR, extended cricotracheal resection; LTCC, laryngotracheal cleft closure; CEC: cardiopulmonary bypass). * After surgery a progressive but slow improvement of dysphonia and dysphagia was observed (the patient is now using a phonation valve and the nasogastric tube is still in situ). ** After surgery a recurrence of tracheo-oesophageal fistula was observed. Further surgery will be scheduled.