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Name of Media:
Complex tracheal disease service (children)
Publisher or Source:
Type of Media:
Medical Professional Education
Media Originally for:
Critical Care Physicians, General Medical Professionals
Country of Origin:
Primary Focus of Media:
Pre-Use of PICS Designation
The service deals with the management of children with serious tracheal disease in childhood. It is primarily concerned with the treatment of long segment congenital tracheal stenosis (and its associated [60%] lesions), severe trachea bronchomalacia and a variety of other, rarer pathologies. Management involves assessment of airway disease by bronchoscopy, bronchography, optical coherence tomography, echocardiography, 3-D imaging by computed tomography (CT) and magnetic resonance imaging (MRI). Treatment may involve surgery, for example slide tracheoplasty for tracheal stenosis, or stenting for malacia. Follow up is both by shared care with referring institutions but by annual review at Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) with anatomic, physiologic, and quality of life assessment.
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