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Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
National Research Tomsk State University

Yushmanova A.B.

Emergency Hospital No. 2

Pogorelko V.G.

Emergency Hospital No. 2

Ivanov S.D.

Emergency Hospital No. 2

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

Authors:

Topolnitskiy E.B., Yushmanova A.B., Pogorelko V.G., Ivanov S.D.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(7): 81‑86

DOI: 10.17116/hirurgia202507181

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CIRCULAR TRACHEAL RESECTION IN A 9-YEAR-OLD CHILD WITH POSTTRACHEOTOMY CICATRICIAL STENOSIS WITH TRACHEOMALACIA: THE FIRST EXPERIENCE IN THE SIBERIAN FEDERAL DISTRICT
CIRCULAR TRACHEAL RESECTION IN A 9-YEAR-OLD CHILD WITH POSTTRACHEOTOMY CICATRICIAL STENOSIS WITH TRACHEOMALACIA: THE FIRST EXPERIENCE IN THE SIBERIAN FEDERAL DISTRICT

To cite this article:

Topolnitskiy EB, Yushmanova AB, Pogorelko VG, Ivanov SD. Circular tracheal resection in a 9-year-old child with posttracheotomy cicatricial stenosis with tracheomalacia: the first experience in the Siberian Federal District. Pirogov Russian Journal of Surgery. 2025;(7):81‑86. (In Russ.)
https://doi.org/10.17116/hirurgia202507181

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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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.

Keywords:

children
tracheal surgery
cicatricial tracheal stenosis
circular tracheal resection
complications

Authors:

Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
National Research Tomsk State University

Yushmanova A.B.

Emergency Hospital No. 2

Pogorelko V.G.

Emergency Hospital No. 2

Ivanov S.D.

Emergency Hospital No. 2

Received:

12.09.2024

Accepted:

10.10.2024

List of references:

  1. Komina EI, Alkhasov AB, Rusetsky YuYu, Latysheva EN. Surgical treatment of postintubation stenosis of the larynx in children. Russian Bulletin of Otorhinolaryngology. 2023;88(3):50-55. (In Russ.). https://doi.org/10.17116/otorino20228803150
  2. Razumovsky AYu, Strizhova DN. Reconstructive surgeries on the larynx and cervical trachea in children. Detskaya khirurgiya. 2020;24(6):383-387. (In Russ.). https://doi.org/10.18821/1560-9510-2020-24-6-383-387
  3. Topolnitskiy EB, Dambaev GTs. The application of the cryosurgical and lymphotropic technologies for the combined treatment of postintubation thracheal stenosis. Vestnik otorinolaringologii. 2012;1:31-33. (In Russ.).
  4. Parshin VD, Porkhanov VA. Rekonstruktivnaya khirurgiya trakhei. M. 2020;704. (In Russ.).
  5. Topolnitskiy EB, Shefer NA, Kapitanova DV, Podgornov VF. Treatment of post-intensive care tracheal stenosis after previous covid-19 pneumonia. Pirogov Russian Journal of Surgery. 2022;(4):5-10. (In Russ.). https://doi.org/10.17116/hirurgia20220415
  6. Parshin VD, Porkhanov VA, Polyakov IS, Kovalenko AL, Zhikharev VA, Parshin AV, Rusakov MA, Parshin VV. Improving surgical technique for tracheal resection with anastomosis. Pirogov Russian Journal of Surgery. 2024;1:6-20. (In Russ.). https://doi.org/10.17116/hirurgia20240116
  7. Nasedkin AN, Parshin VD, Yegorov VI [i dr.]. Khirurgiya stenoticheskikh zabolevaniy gortani i trakhei u vzroslykh i detey. Tver: Triada, 2021. (In Russ.).
  8. Parshin VD, Rusakov MA, Parshin VV, Titov VA, Parshin AV, Starostin AV. Tracheolaryngeal resection for cicatricle stenosis. Pirogov Russian Journal of Surgery. 2018;6:41-48. (In Russ.). https://doi.org/10.17116/hirurgia2018641-48
  9. Topolnitskiy EB, Shefer NA, Podgornov VF. Treatment of laryngotracheal and tracheal cicatricial stenosis: 10-year experience. Pirogov Russian Journal of Surgery. 2022;3:36-43. (In Russ.). https://doi.org/10.17116/hirurgia202203136
  10. Pryanikov PD, Zyabkin IV, Brusov GP, Naleev AA, Efimova VI, Rogojin DV, Alichanov AA, Shechtman AP, Kurbanova FA, Mironov AY. Circular resection of trachea in an 8 years old child with cicatricial stenosis of trachea 4 st. Cotton-Mayer. Head and Neck. Russian Journal. 2021;9(1):61-66. (In Russ.).
  11. Rossi ME, Moreddu E, Macé L, Triglia JM, Nicollas R. Surgical management of children presenting with surgical-needed tracheal stenosis. Int J Pediatr Otorhinolaryngol. 2018;108:219-223.  https://doi.org/10.1016/j.ijporl.2018.02.040
  12. Torre M, Varela P, Romero D, Leopold E. Complex tracheal resection in children: Myths, reality and lessons learned. Semin Pediatr Surg. 2021;30(3):151059. https://doi.org/10.1016/j.sempedsurg.2021.151059
  13. Razumovsky AYu, Stepanenko NS, Kulikova NV, Kislenko AA. Thoracoscopic tracheal resection in a child under extracorporeal membrane oxygenation. Pirogov Russian Journal of Surgery. 2024;1:86-90. (In Russ.). https://doi.org/10.17116/hirurgia202401186
  14. Topolnitskiy E, Chekalin T, Marchenko E, Volinsky A. Treatment of post-resuscitation cicatricial tracheal stenosis after suffering severe COVID-19 associated pneumonia: A report of 11 cases. Respiratory medicine case reports. 2022;40.  https://doi.org/10.1016/j.rmcr.2022.101768
  15. Auchincloss HG, Wright CD. Complications after tracheal resection and reconstruction: prevention and treatment. J Thorac Dis. 2016;8(suppl 2):S160-167.  https://doi.org/10.3978/j.issn.2072-1439.2016.01.86

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