Tracheal cartilaginous sleeve in patients with craniosynostosis syndromes: a meta-analysis

Journal of Pediatric Surgery
Keith LertsburapaChristine Sullivan

Abstract

The purpose of this study is to determine if there is a survival advantage to having a tracheostomy in patients with tracheal cartilaginous sleeve (TCS), to determine if the age of the patient at the time of tracheostomy affects morbidity, and to determine if patients with a true pars membranacea have a survival advantage and less morbidity than those without a pars membranacea. Case report and meta-analysis of the literature were conducted. A review of the world literature from 1979 to 2006 was performed. All reports of patients with craniofacial syndromes found to have TCS by autopsy or endoscopic findings were included. A case report of a new patient with TCS is presented. Patients who undergo tracheostomy have a statistically significant survival advantage (P = .0067). The patient's age at the time of tracheostomy was not associated with survival time (P = .45). There is no association with absence or presence of a pars membranacea and clinical symptoms of respiratory distress (P = .50). There is no overall difference in survival between patients with a pars membranacea and those without (P = .78). Tracheostomy placement in patients with TCS and craniosynostosis can decrease morbidity and increase survival. Interval broncho...Continue Reading

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Citations

Sep 10, 2014·International Journal of Pediatric Otorhinolaryngology·Jane HamiltonHaytham Kubba
Aug 21, 2012·Journal of Pediatric Surgery·Juan L Antón-PachecoAna Romance García
Feb 24, 2015·American Journal of Medical Genetics. Part a·Tara L WengerElaine H Zackai
May 6, 2015·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Catherine K Hart, Michael J Rutter
Feb 26, 2016·Pediatric Radiology·Eva I RubioDorothy I Bulas
Oct 8, 2016·Facial Plastic Surgery Clinics of North America·Lauren A BohmBrianne Roby
Jul 16, 2013·The Journal of Craniofacial Surgery·Adebayo AlliMichelle Wyatt
Jun 21, 2018·The Annals of Otology, Rhinology, and Laryngology·Fasil MathewsJeffrey P Simons
Jul 20, 2018·Pediatric Radiology·Matthew R WannerJohn P Dahl
Dec 18, 2015·The Journal of Craniofacial Surgery·Carol XieAndrew Selby
Apr 15, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kaitlyn ZennerRandall A Bly
Feb 11, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Brian D'Anza, Cecilia Canto-Helwig
May 27, 2016·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Tara L WengerJonathan Perkins
Sep 3, 2020·International Journal of Pediatric Otorhinolaryngology·Kelsey A LoyJohn P Dahl
Apr 4, 2021·BMJ Case Reports·Nurhamizah MahmudBee See Goh
Jun 17, 2021·The Laryngoscope·Anisha R NobleJohn P Dahl
Jun 17, 2021·Annals of Plastic Surgery·Xiaona LuJohn A Persing

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