PMID: 8943125Nov 1, 1996Paper

Intratracheal granuloma formation: a late complication of Marlex mesh splinting for tracheomalacia

Journal of Pediatric Surgery
P G Fitzgerald, J M Walton

Abstract

External splinting of the trachea has been used alone or in combination with aortopexy for the treatment of severe tracheomalacia. The authors describe the case of a 12-year-old boy who had a Marlex mesh splint placed because of life-threatening primary tracheomalacia at 6 months of age. He presented at 12 years of age with a 5-month history of shortness of breath on exertion, dry cough, and audible wheeze. Radiological and endoscopic examinations showed near-complete obstruction of the orifice of the right mainstem bronchus by a large polypoid granuloma. Initially the patient was treated with endoscopic resection on two occasions, but the granuloma and bronchial obstruction recurred each time. He underwent a right thoracotomy, which showed that the lower edge of the mesh had eroded through the trachea wall and was acting as a nidus for granuloma formation. After removal of the mesh, the resulting defect at the site of erosion of the trachea was closed with a pericardial patch. The postoperative course was uncomplicated, and the patient remains well 2 years after surgery. External splinting of the trachea has been shown to be effective in the treatment of complicated tracheomalacia, but one must be aware of the potential long-t...Continue Reading

References

Jun 1, 1986·The British Journal of Surgery·A Vaishnav, A E MacKinnon
Dec 1, 1983·Journal of Pediatric Surgery·J P MurphyC Smith
Oct 1, 1982·Journal of Pediatric Surgery·R M FillerD J Steward

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Citations

Jul 9, 2002·Biomaterials·U KlingeV Schumpelick
Nov 4, 2011·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·C D KlinkU Klinge
Oct 29, 2000·Journal of Pediatric Surgery·A MorabitoA Bianchi
May 24, 2012·Perspectives in Public Health·Louise Cummings

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