Prise en charge de la trachéo et bronchomalacie

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Mucosal tolerance to ETT & tracheostomy tubes is reduced in TBM children. children. A higher complications rate is observed compared to long-term long term intubated babies with normal airway structure and requires an endoscopic survey on a regular basis. • granuloma formation • web-like web like lesions • vanishing cervical trachea • mucociliary clearence impairment • mucus plugging • bleeding on suction
A series of 17 children aged 2 to 16 stented with either metal (Wallstent Wallstent ® , Ultraflex ® Ultraflex ) or silicone prostheses • Each of the stents in current clinical use has its merits and drawbacks. • All uncovered metal stents tend to become epithelialized [..]. While this prevents stent migration this means that removal becomes increasingly difficult with time. Metal stents should probably be considered as permanent implants. • We believe that metal stents are preferable as they retain contact with the airway wall even when one cannot assess the true diameter of the airway. airway • Silicone and silastic stents are easy to insert and remove. remove. Both are ideal for short-term short term use or when healing and recovery are expected. expected • The long-term long term outlook after placement of metal stents for vascular compression [..] remains uncertain. uncertain. Bronchial fistula [..] and induction of granulation tissue [..] remain a major concern. concern • In our experience metal covered stents are less stable and may become displaced. displaced Kumar P et al. Trachebronchial obstruction in children: children: experience with endoscopic airway stenting. stenting. Ann Thorac Surg 2003
Page 1 and 2: SP 2 A TRACHEO- et BRONCHOMALACIE P
Page 3 and 4: Cochrane Database • Absence de pr
Page 5 and 6: Moyens thérapeutiques -Résection
Page 7 and 8: Traitement non-spécifique • Kin
Page 9 and 10: Kinésithérapie respiratoire • 1
Page 11 and 12: Bronchodilatateurs • Limiter leur
Page 13 and 14: • Références = 0 Antibiotiques
Page 15 and 16: CPAP vs. BIPAP Fille 10 mois, triso
Page 17 and 18: Pexie (aorto-; AP-; CA-; Tronc BC-
Page 19 and 20: Aortopexie thoracoscopique Pré-op
Page 21 and 22: « Stents » (tuteurs) : une altern
Page 23 and 24: Stent métallique tallique dilatabl
Page 25 and 26: Stents en silicone s ilicone (Trach
Page 27 and 28: Filler RM J Pediatr Surg 1998 Furma
Page 29 and 30: Complications de l’aortopexie vs.
Page 31 and 32: Interposition cartilagineuse, Rése
Page 33 and 34: Conclusion • Aucun traitement val
Page 35 and 36: Left mainstem bronchus stenting: st
Page 37 and 38: Tracheal silicone stenting tenting
Page 39 and 40: Stent removal: removal: when ? •
Page 41: efore photoresection D 10
Page 45 and 46: Aortopexie thoracoscopique + 1 an S

Prise en charge de la trachéo et bronchomalacie

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