QUAD #15: Managing A-Frame Deformities with Dr. Matt Smith

Stay Current in Pediatric Surgery by StayCurrent: Pediatric Surgery

Episode notes

In this video, we dive into the complexities of tracheal A-frame deformities, a common issue following airway surgeries like tracheostomies or reconstructions.

  • What Are A-Frame Deformities? A tracheal deformity that typically occurs at the site of a previous tracheostomy, affecting about a third of patients with prior airway surgery.
  • Challenges in Airway Sizing: Traditional endotracheal tube sizing is unreliable for A-frame deformities due to the oblong shape of the airway, making it crucial to assess both static and dynamic aspects of the deformity.
  • Symptoms and Progression: Symptoms may take 1-2 years to manifest post-decannulation, often presenting as exercise intolerance, dyspnea, or obstructive sleep apnea.
  • Surgical Interventions: Dr. Smith ... 
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Keywords
tracheostomytracheoplastyA-Framedeformitytrachealendotrachealpost-decannulationobstructive sleep apneasubglottictracheal stenosiscampomelic dysplasia