Infectious complications after tracheoplasty for congenital tracheal stenosis: a retrospective comparative study

Pediatr Surg Int. 2021 Dec;37(12):1737-1741. doi: 10.1007/s00383-021-04996-x. Epub 2021 Aug 27.

Abstract

Purpose: The factors related to infectious complications after tracheoplasty for congenital tracheal stenosis (CTS) remain unclear; we, therefore, assessed these factors in this study.

Methods: We divided 47 patients who underwent slide tracheostomy and tracheal resection for CTS between May 2016 and December 2020 into an infected group and a non-infected group. Their characteristics were compared between groups. Results are presented as the median (range) or incidence.

Results: Infectious complications were observed in 12 patients (25.5%). Empyema and mediastinitis were seen in 5 cases (10.6%). There was a significant difference in the following factors in the infected and non-infected groups, respectively: weight, 5457 (2868-20,750) g and 6554 (2275-20,800) g (p = 0.025); surgical time, 575.5 (313-646) min and 349 (270-651) min (p < 0.001); extracorporeal circulation time, 303.5 (186-610) min and 216 (117-478) min (p = 0.001); and postoperative intubation time, 13 (7-28) days, and 6 (5-22) days (p < 0.001). Age, malnutrition, cardiovascular comorbidities, and preoperative methicillin-resistant Staphylococcus aureus detection were not significantly different between the two groups.

Conclusion: There were a few serious infectious complications and no perioperative deaths. Attention should be paid to low body weight, long surgical and extracorporeal circulation time, and intubation time in relation to infectious complications.

Keywords: Congenital tracheal stenosis; Infectious complications; Slide tracheoplasty; Tracheal resection.

MeSH terms

  • Constriction, Pathologic
  • Humans
  • Infant
  • Methicillin-Resistant Staphylococcus aureus*
  • Plastic Surgery Procedures* / adverse effects
  • Postoperative Complications / microbiology*
  • Retrospective Studies
  • Trachea / abnormalities
  • Trachea / surgery
  • Tracheal Stenosis* / surgery
  • Treatment Outcome

Supplementary concepts

  • Tracheal agenesis