Choice of suture technique may mitigate figure-of-8 deformity in slide tracheoplasty.
Am J Otolaryngol
; 45(4): 104318, 2024.
Article
em En
| MEDLINE
| ID: mdl-38678801
ABSTRACT
OBJECTIVES:
To demonstrate varying degrees of immediate postoperative figure of 8 deformity following three different methods of tracheal suturing. STUDYDESIGN:
Comparative ex-vivo study.METHODS:
A fresh, unfixed rabbit trachea was harvested and bisected at its midpoint. The posterior membranous trachea was excised from both segments to mimic the anatomy of complete tracheal rings following longitudinal release. A slide tracheoplasty was performed on the same tracheal segments as an internal control, using three different methods of closure simple running, running horizontal mattress, and a modified baseball stitch. Endoscopic and external photographs were taken immediately following repair to document the effect of closure technique on external and endoluminal anatomy.RESULTS:
A simple running closure, in which traveling occurs between needle passes, showed the greatest degree of postoperative figure of 8 deformity. A running horizontal mattress suture closure showed less deformity and a modified running closure, in which traveling occurs within needle passes, showed the least deformity.CONCLUSIONS:
Our study suggests that a minor modification of standard running closure techniques may help limit the common figure-of-8 deformity often noted following slide tracheoplasty. LAYSUMMARY:
Figure of-8 deformity is a problem that can occur when repairing a narrow trachea referred to as tracheal stenosis. This deformity may be prevented using particular suture techniques which may decrease the likelihood that the trachea becomes blocked again following repair.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traqueia
/
Técnicas de Sutura
Limite:
Animals
Idioma:
En
Revista:
Am J Otolaryngol
/
Am. j. otolaryngol
/
American journal of otolaryngology
Ano de publicação:
2024
Tipo de documento:
Article