External Stabilization of Long-Segment Tracheobronchomalacia Guided by Intraoperative Bronchoscopy Siegfried Hagl, MD, Heinz Jakob, MD, Christian Sebening,

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Presentation transcript:

External Stabilization of Long-Segment Tracheobronchomalacia Guided by Intraoperative Bronchoscopy Siegfried Hagl, MD, Heinz Jakob, MD, Christian Sebening, MD, Peter van Bodegom, MD, Klaus Schmidt, MD, Eugen Zilow, MD, Franz Fleischer, MD, Herbert Ulmer, MD The Annals of Thoracic Surgery Volume 64, Issue 5, Pages 1412-1421 (November 1997) DOI: 10.1016/S0003-4975(97)00994-6 Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 . Schematic cross-sectional view of tracheal external stabilization with “onlay” fixation of the flaccid pars membranacea and free suspension of the malacic cartilaginous portions within an oversized polytetrafluoroethylene prosthesis. The Annals of Thoracic Surgery 1997 64, 1412-1421DOI: (10.1016/S0003-4975(97)00994-6) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Operative drawing demonstrating the multiple-row suturing technique in resuspending the malacic cartilaginous portions within a longitudinally opened polytetrafluoroethylene prosthesis. (B) Completed external tracheal stabilization. (C) The same principle applied to left main bronchiomalacia. The Annals of Thoracic Surgery 1997 64, 1412-1421DOI: (10.1016/S0003-4975(97)00994-6) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (Patient 1.) (A) Serial thoracic computed tomographic scans from the cricoid (I) to the tracheal bifurcation (V) demonstrating severe long-segment tracheal stenosis. (B) Follow-up computed tomographic scans in the same patient 3 months postoperatively, demonstrating a widely patent distal trachea. The Annals of Thoracic Surgery 1997 64, 1412-1421DOI: (10.1016/S0003-4975(97)00994-6) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions