神戸大学附属図書館デジタルアーカイブ
https://hdl.handle.net/20.500.14094/90006245

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メタデータID
90006245
アクセス権
open access
出版タイプ
Accepted Manuscript
タイトル
Anterior-posterior cricoid split combined with silastic T-tube stenting for subglottic stenosis in children: a single surgeon's experience
著者
Bitoh, Yuko ; Okata, Yuichi ; Tsugawa, Jiro ; Miyauchi, Harunori ; Aida, Yosuke ; Tachibanaki, Yumiko ; Nakai, Yumiko ; Tomioka, Yuichiro
著者ID
A1523
研究者ID
1000060719003
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=222054e67311f8c1520e17560c007669
著者名
Bitoh, Yuko
尾藤, 祐子
ビトウ, ユウコ
所属機関名
医学研究科
著者ID
A2252
研究者ID
1000040597217
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=0a569f1fef538fd9520e17560c007669
著者名
Okata, Yuichi
大片, 祐一
オオカタ, ユウイチ
所属機関名
医学研究科
著者名
Tsugawa, Jiro
著者名
Miyauchi, Harunori
著者名
Aida, Yosuke
著者名
Tachibanaki, Yumiko
著者名
Nakai, Yumiko
著者名
Tomioka, Yuichiro
言語
English (英語)
収録物名
Pediatric Surgery International
巻(号)
34(10)
ページ
1041-1046
出版者
Springer Berlin Heidelberg
刊行日
2018-10
公開日
2019-11-01
抄録
Purpose Treatment strategies and clinical outcomes of subglottic stenosis (SGS) in children are varied due to the degree and range of stenotic lesions. The optimal surgical procedure for SGS in children is still under debate. The aim of this study was to evaluate the clinical outcomes of our anterior-posterior cricoid (APC) split technique combined with long-term T-tube stenting for grade II or III SGS in children. Methods A retrospective chart review of children with SGS between January 2011 and December 2016 was conducted. APC split was performed via open procedure under rigid bronchoscopy. After splitting, a silastic T-tube was inserted as a stent and removed 6 months postoperatively. Results Seven children underwent APC split during the period. All children had undergone previous tracheostomy, and APC split was performed when the children were 3-9 years old without any intraoperative complications. Median duration of T-tube stenting was 11 months, and all children were decannulated successfully. There were T-tube-related complications, including two tube-tip granulation that required intervention and one accidental T-tube removal. Conclusion APC split is a technically simple and reproducible procedure, and it could be employed as an optimal procedure for SGS in children.
キーワード
Subglottic stenosis
Children
Cricoid split
T-tube
Stent
カテゴリ
医学研究科
学術雑誌論文
権利
© Springer-Verlag GmbH Germany, part of Springer Nature 2018. This is a post-peer-review, pre-copyedit version of an article published in Pediatric Surgery International. The final authenticated version is available online at: https://doi.org/10.1007/s00383-018-4328-z
関連情報
DOI
https://doi.org/10.1007/s00383-018-4328-z