caa a22 4500 465771688 CHVBK 20180323111930.0 cr unu---uuuuu 170327e19900101xx s 000 0 eng 10.1007/BF00179632 doi (NATIONALLICENCE)springer-10.1007/BF00179632 Tracheal flap for primary reconstruction of subglottic stenosis [Elektronische Daten] An experimental study [S. Haugen, A. Bianchi] The management of subglottic stenosis in children remains a controversial issue. This study aimed to develop a reproducible, single-stage, curative procedure for primary reconstruction of the trachea in subglottic stenosis that would be applicable in the newborn period. A method of resection of the subglottic portion of the trachea with reconstruction by primary anastomosis utilizing an anterior tracheal flap is described. Thirty young rats were operated upon according to this method, utilizing a microsurgical technique. There were 2 deaths, of which 1 was unrelated to the operation. Following surgery all the surviving rats had slight stridor due to mild postoperative oedema lasting some 3-4 days. Subsequently there were no further respiratory symptoms. The experiments were terminated 3 months following surgery when the rats had attained full adult size. Macro- and microscopical assessment of the tracheas was carried out. The study showed that in an animal model it is possible to carry out primary reconstruction of the subglottic area of a very small-calibre trachea without a diversionary tracheostomy and that the procedure is followed by good primary healing with minimal scarring, no stricturing, and no impairment of growth. Springer-Verlag, 1990 Subglottic stenosis nationallicence Haugen S. Neonatal Surgical Unit, St. Mary's Hospital, M13 OJH, Manchester, UK aut Bianchi A. Neonatal Surgical Unit, St. Mary's Hospital, M13 OJH, Manchester, UK aut Pediatric Surgery International Springer-Verlag 5/1(1990-01-01), 19-21 0179-0358 5:1<19 1990 5 383 https://doi.org/10.1007/BF00179632 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00179632 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Haugen S. Neonatal Surgical Unit, St. Mary's Hospital, M13 OJH, Manchester, UK aut NATIONALLICENCE 700 1- Bianchi A. Neonatal Surgical Unit, St. Mary's Hospital, M13 OJH, Manchester, UK aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/1(1990-01-01), 19-21 0179-0358 5:1<19 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer