Gaslini's tracheal team

Preliminary experience after one year of paediatric airway reconstructive surgery

Michele Torre, Marcello Carlucci, Stefano Avanzini, Vincenzo Jasonni, Philippe Monnier, Vincenzo Tarantino, Roberto D'Agostino, Renato Vallarino, Mirta Della Rocca, Andrea Moscatelli, Anna Deh, Lucio Zannini, Nicola Stagnaro, Oliviero Sacco, Serena Panigada, Pietro Tuo

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: congenital and acquired airway anomalies represent a relatively common albeit challenging problem in a national tertiary care hospital. In the past, most of these patients were sent to foreign Centres because of the lack of local experience in reconstructive surgery of the paediatric airway. In 2009, a dedicated team was established at our Institute. Gaslini's Tracheal Team includes different professionals, namely anaesthetists, intensive care specialists, neonatologists, pulmonologists, radiologists, and ENT, paediatric, and cardiovascular surgeons. The aim of this project was to provide these multidisciplinary patients, at any time, with intensive care, radiological investigations, diagnostic and operative endoscopy, reconstructive surgery, ECMO or cardiopulmonary bypass. Aim of this study is to present the results of the first year of airway reconstructive surgery activity of the Tracheal Team. Methods. between September 2009 and December 2010, 97 patients were evaluated or treated by our Gaslini Tracheal Team. Most of them were evaluated by both rigid and flexible endoscopy. In this study we included 8 patients who underwent reconstructive surgery of the airways. Four of them were referred to our centre or previously treated surgically or endoscopically without success in other Centres. Results: Eight patients required 9 surgical procedures on the airway: 4 cricotracheal resections, 2 laryngotracheoplasties, 1 tracheal resection, 1 repair of laryngeal cleft and 1 foreign body removal with cardiopulmonary bypass through anterior tracheal opening. Moreover, in 1 case secondary aortopexy was performed. All patients achieved finally good results, but two of them required two surgeries and most required endoscopic manoeuvres after surgery. The most complex cases were the ones who had already been previously treated. Conclusions: The treatment of paediatric airway anomalies requires a dedicated multidisciplinary approach and a single tertiary care Centre providing rapid access to endoscopic and surgical manoeuvres on upper and lower airways and the possibility to start immediately cardiopulmonary bypass or ECMO. The preliminary experience of the Tracheal Team shows that good results can be obtained with this multidisciplinary approach in the treatment of complicated cases. The centralization of all the cases in one or few national Centres should be considered.

Original languageEnglish
Article number51
JournalItalian Journal of Pediatrics
Volume37
Issue number1
DOIs
Publication statusPublished - 2011

Fingerprint

Reconstructive Surgical Procedures
Pediatrics
Cardiopulmonary Bypass
Critical Care
Tertiary Care Centers
Endoscopy
Tertiary Healthcare
Foreign Bodies
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Gaslini's tracheal team : Preliminary experience after one year of paediatric airway reconstructive surgery. / Torre, Michele; Carlucci, Marcello; Avanzini, Stefano; Jasonni, Vincenzo; Monnier, Philippe; Tarantino, Vincenzo; D'Agostino, Roberto; Vallarino, Renato; Della Rocca, Mirta; Moscatelli, Andrea; Deh, Anna; Zannini, Lucio; Stagnaro, Nicola; Sacco, Oliviero; Panigada, Serena; Tuo, Pietro.

In: Italian Journal of Pediatrics, Vol. 37, No. 1, 51, 2011.

Research output: Contribution to journalArticle

Torre, Michele ; Carlucci, Marcello ; Avanzini, Stefano ; Jasonni, Vincenzo ; Monnier, Philippe ; Tarantino, Vincenzo ; D'Agostino, Roberto ; Vallarino, Renato ; Della Rocca, Mirta ; Moscatelli, Andrea ; Deh, Anna ; Zannini, Lucio ; Stagnaro, Nicola ; Sacco, Oliviero ; Panigada, Serena ; Tuo, Pietro. / Gaslini's tracheal team : Preliminary experience after one year of paediatric airway reconstructive surgery. In: Italian Journal of Pediatrics. 2011 ; Vol. 37, No. 1.
@article{f69516a703224027b6fcc01444b27cf8,
title = "Gaslini's tracheal team: Preliminary experience after one year of paediatric airway reconstructive surgery",
abstract = "Background: congenital and acquired airway anomalies represent a relatively common albeit challenging problem in a national tertiary care hospital. In the past, most of these patients were sent to foreign Centres because of the lack of local experience in reconstructive surgery of the paediatric airway. In 2009, a dedicated team was established at our Institute. Gaslini's Tracheal Team includes different professionals, namely anaesthetists, intensive care specialists, neonatologists, pulmonologists, radiologists, and ENT, paediatric, and cardiovascular surgeons. The aim of this project was to provide these multidisciplinary patients, at any time, with intensive care, radiological investigations, diagnostic and operative endoscopy, reconstructive surgery, ECMO or cardiopulmonary bypass. Aim of this study is to present the results of the first year of airway reconstructive surgery activity of the Tracheal Team. Methods. between September 2009 and December 2010, 97 patients were evaluated or treated by our Gaslini Tracheal Team. Most of them were evaluated by both rigid and flexible endoscopy. In this study we included 8 patients who underwent reconstructive surgery of the airways. Four of them were referred to our centre or previously treated surgically or endoscopically without success in other Centres. Results: Eight patients required 9 surgical procedures on the airway: 4 cricotracheal resections, 2 laryngotracheoplasties, 1 tracheal resection, 1 repair of laryngeal cleft and 1 foreign body removal with cardiopulmonary bypass through anterior tracheal opening. Moreover, in 1 case secondary aortopexy was performed. All patients achieved finally good results, but two of them required two surgeries and most required endoscopic manoeuvres after surgery. The most complex cases were the ones who had already been previously treated. Conclusions: The treatment of paediatric airway anomalies requires a dedicated multidisciplinary approach and a single tertiary care Centre providing rapid access to endoscopic and surgical manoeuvres on upper and lower airways and the possibility to start immediately cardiopulmonary bypass or ECMO. The preliminary experience of the Tracheal Team shows that good results can be obtained with this multidisciplinary approach in the treatment of complicated cases. The centralization of all the cases in one or few national Centres should be considered.",
author = "Michele Torre and Marcello Carlucci and Stefano Avanzini and Vincenzo Jasonni and Philippe Monnier and Vincenzo Tarantino and Roberto D'Agostino and Renato Vallarino and {Della Rocca}, Mirta and Andrea Moscatelli and Anna Deh and Lucio Zannini and Nicola Stagnaro and Oliviero Sacco and Serena Panigada and Pietro Tuo",
year = "2011",
doi = "10.1186/1824-7288-37-51",
language = "English",
volume = "37",
journal = "Italian Journal of Pediatrics",
issn = "1720-8424",
publisher = "BioMed Central Ltd.",
number = "1",

}

TY - JOUR

T1 - Gaslini's tracheal team

T2 - Preliminary experience after one year of paediatric airway reconstructive surgery

AU - Torre, Michele

AU - Carlucci, Marcello

AU - Avanzini, Stefano

AU - Jasonni, Vincenzo

AU - Monnier, Philippe

AU - Tarantino, Vincenzo

AU - D'Agostino, Roberto

AU - Vallarino, Renato

AU - Della Rocca, Mirta

AU - Moscatelli, Andrea

AU - Deh, Anna

AU - Zannini, Lucio

AU - Stagnaro, Nicola

AU - Sacco, Oliviero

AU - Panigada, Serena

AU - Tuo, Pietro

PY - 2011

Y1 - 2011

N2 - Background: congenital and acquired airway anomalies represent a relatively common albeit challenging problem in a national tertiary care hospital. In the past, most of these patients were sent to foreign Centres because of the lack of local experience in reconstructive surgery of the paediatric airway. In 2009, a dedicated team was established at our Institute. Gaslini's Tracheal Team includes different professionals, namely anaesthetists, intensive care specialists, neonatologists, pulmonologists, radiologists, and ENT, paediatric, and cardiovascular surgeons. The aim of this project was to provide these multidisciplinary patients, at any time, with intensive care, radiological investigations, diagnostic and operative endoscopy, reconstructive surgery, ECMO or cardiopulmonary bypass. Aim of this study is to present the results of the first year of airway reconstructive surgery activity of the Tracheal Team. Methods. between September 2009 and December 2010, 97 patients were evaluated or treated by our Gaslini Tracheal Team. Most of them were evaluated by both rigid and flexible endoscopy. In this study we included 8 patients who underwent reconstructive surgery of the airways. Four of them were referred to our centre or previously treated surgically or endoscopically without success in other Centres. Results: Eight patients required 9 surgical procedures on the airway: 4 cricotracheal resections, 2 laryngotracheoplasties, 1 tracheal resection, 1 repair of laryngeal cleft and 1 foreign body removal with cardiopulmonary bypass through anterior tracheal opening. Moreover, in 1 case secondary aortopexy was performed. All patients achieved finally good results, but two of them required two surgeries and most required endoscopic manoeuvres after surgery. The most complex cases were the ones who had already been previously treated. Conclusions: The treatment of paediatric airway anomalies requires a dedicated multidisciplinary approach and a single tertiary care Centre providing rapid access to endoscopic and surgical manoeuvres on upper and lower airways and the possibility to start immediately cardiopulmonary bypass or ECMO. The preliminary experience of the Tracheal Team shows that good results can be obtained with this multidisciplinary approach in the treatment of complicated cases. The centralization of all the cases in one or few national Centres should be considered.

AB - Background: congenital and acquired airway anomalies represent a relatively common albeit challenging problem in a national tertiary care hospital. In the past, most of these patients were sent to foreign Centres because of the lack of local experience in reconstructive surgery of the paediatric airway. In 2009, a dedicated team was established at our Institute. Gaslini's Tracheal Team includes different professionals, namely anaesthetists, intensive care specialists, neonatologists, pulmonologists, radiologists, and ENT, paediatric, and cardiovascular surgeons. The aim of this project was to provide these multidisciplinary patients, at any time, with intensive care, radiological investigations, diagnostic and operative endoscopy, reconstructive surgery, ECMO or cardiopulmonary bypass. Aim of this study is to present the results of the first year of airway reconstructive surgery activity of the Tracheal Team. Methods. between September 2009 and December 2010, 97 patients were evaluated or treated by our Gaslini Tracheal Team. Most of them were evaluated by both rigid and flexible endoscopy. In this study we included 8 patients who underwent reconstructive surgery of the airways. Four of them were referred to our centre or previously treated surgically or endoscopically without success in other Centres. Results: Eight patients required 9 surgical procedures on the airway: 4 cricotracheal resections, 2 laryngotracheoplasties, 1 tracheal resection, 1 repair of laryngeal cleft and 1 foreign body removal with cardiopulmonary bypass through anterior tracheal opening. Moreover, in 1 case secondary aortopexy was performed. All patients achieved finally good results, but two of them required two surgeries and most required endoscopic manoeuvres after surgery. The most complex cases were the ones who had already been previously treated. Conclusions: The treatment of paediatric airway anomalies requires a dedicated multidisciplinary approach and a single tertiary care Centre providing rapid access to endoscopic and surgical manoeuvres on upper and lower airways and the possibility to start immediately cardiopulmonary bypass or ECMO. The preliminary experience of the Tracheal Team shows that good results can be obtained with this multidisciplinary approach in the treatment of complicated cases. The centralization of all the cases in one or few national Centres should be considered.

UR - http://www.scopus.com/inward/record.url?scp=84857206875&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84857206875&partnerID=8YFLogxK

U2 - 10.1186/1824-7288-37-51

DO - 10.1186/1824-7288-37-51

M3 - Article

VL - 37

JO - Italian Journal of Pediatrics

JF - Italian Journal of Pediatrics

SN - 1720-8424

IS - 1

M1 - 51

ER -