Show Summary Details
Page of

Airway Reconstruction 

Airway Reconstruction
Airway Reconstruction

Elizabeth A Hein

and Gresham T Richter

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 09 December 2019

Pediatric airway reconstruction is undertaken to correct airway obstruction, which may be congenital or iatrogenic. Congenital airway obstruction can be located at any level of the respiratory system, from the nares to the bronchi. It can be complete obstruction, such as choanal atresia in a newborn, or incomplete, such as adenotonsillar hypertrophy or tracheomalacia. Iatrogenic obstruction is often the result of prolonged intubation in a premature infant, which results in subglottic stenosis (SGS) after extubation. As these children grow, their airway growth may not keep pace, resulting in restrictive symptoms limiting their activity. Laryngotracheoplasty (LTP) or tracheal resection procedures may be needed to reconstruct and enlarge the airway. If the premature infant has concurrent lung disease, long-term intubation is often followed by tracheostomy placement. The timing of decannulation depends on the patient's airway patency and respiratory reserve. Understanding the process of evaluation and treatment of patients with SGS helps the anesthetist provide safe anesthesia for this challenging group of children.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.