Chỉnh hình khí quản trên người bệnh hẹp khí quản bẩm sinh: Báo cáo ca lâm sàng

Abstract

Upper airway obstruction is a prevalent feature in patients with Down syndrome. However, these patients may be completely asymptomatic in the early months of life. The recognition of a problem within the airway quite often occurs when these children present for cardiac surgery, diagnostic CT scan with sedation and tracheabron- choscopic. Congenital tracheal stenosis is rare in the general population, but seen somewhat more frequently in patients with Down syndrome. The incidence of tracheal stenosis in children with congenital heart disease, which is seen in 40% of patients with Down syndrome, has been reported to be 1,2%. Patients with Down syndrome abo tend to have other upper airway obstructive pathology such as nasopharyngeal, oropharyngeal, and subglottic compromise. These entities, combined with the high incidence of cardiac disease, put these children at risk for acute and chronic cardiopulmonary compromise. We present a case in which slide tracheoplasty was utilized for expansion of long segment tracheal stenosis due to Congenital tracheal stenosis in a female with Down syndrome.