关键词: Airway Airway reconstruction Congenital Stridor Tracheal stenosis Tracheoplasty

Mesh : Child Consensus Constriction, Pathologic Humans Infant Otolaryngology Reconstructive Surgical Procedures / methods Trachea / abnormalities surgery Tracheal Stenosis / congenital Treatment Outcome

来  源:   DOI:10.1016/j.ijporl.2022.111251

Abstract:
OBJECTIVE: To outline an expert-based consensus of recommendations for the diagnosis and management of pediatric patients with congenital tracheal stenosis.
METHODS: Expert opinions were sought from members of the International Pediatric Otolaryngology Group (IPOG) via completion of an 18-item survey utilizing an iterative Delphi method and review of the literature.
RESULTS: Forty-three members completed the survey providing recommendations regarding the initial history, clinical evaluation, diagnostic evaluation, temporizing measures, definitive repair, and post-repair care of children with congenital tracheal stenosis.
CONCLUSIONS: These recommendations are intended to be used to support clinical decision-making regarding the evaluation and management of children with congenital tracheal stenosis. Responses highlight the diverse management strategies and the importance of a multidisciplinary approach to care of these patients.
摘要:
目的:为小儿先天性气管狭窄的诊断和治疗提供专家共识。
方法:通过使用迭代德尔菲法完成18项调查并回顾文献,征求了国际小儿耳鼻喉科小组(IPOG)成员的专家意见。
结果:43名成员完成了调查,提供了有关初始历史的建议,临床评估,诊断评估,临时措施,最终修复,先天性气管狭窄患儿的修复后护理。
结论:这些建议旨在用于支持有关先天性气管狭窄患儿的评估和管理的临床决策。回应强调了多样化的管理策略以及多学科方法对这些患者的护理的重要性。
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