Evidence map›Paper›PMID 27751243›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2016

Repair of large airway defects with bioprosthetic materials.

Brooks V Udelsman, Jessica Eaton, Ashok Muniappan, Christopher R Morse, Cameron D Wright, Douglas J Mathisen

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Development and clinical translation of tubular constructs for tracheal tissue engineering: a review.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  11. Review
  12. Article
  13. Review
  14. Artificial lung.Journal of thoracic disease · 2018
    Review
  15. Article
  16. A reassessment of tracheal substitutes-a systematic review.Annals of cardiothoracic surgery · 2018
    Review
  17. Bioprosthetics and repair of complex aerodigestive defects.Annals of cardiothoracic surgery · 2018
    Article
  18. Article
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Brooks V UdelsmanDivision of General Surgery, Massachusetts General Hospital, Boston, Mass. Electronic address: budelsman@partners.org.
Jessica EatonUniversity of Louisville School of Medicine, Louisville, Ky.
Ashok MuniappanDivision of Thoracic Surgery, Massachusetts General Hospital, Boston, Mass.
Christopher R MorseDivision of Thoracic Surgery, Massachusetts General Hospital, Boston, Mass.
Cameron D WrightDivision of Thoracic Surgery, Massachusetts General Hospital, Boston, Mass.
Douglas J MathisenDivision of Thoracic Surgery, Massachusetts General Hospital, Boston, Mass.
Massachusetts General Hospital · USUniversity of Louisville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePatients with complicated airway defects that exceed the limits of primary repair represent a challenging clinical problem and require alternative techniques for repair. The aim of this study was to evaluate bioprosthetic reconstruction of large tracheal and bronchial defects.

methodsRetrospective chart review of patients treated at a single tertiary center from 2008 to 2015 who underwent repair of tracheal or bronchial defects with a bioprosthetic device, namely aortic homograft or acellular dermal matrix.

resultsEight patients, 3 men and 5 women with a mean age of 54 ± 13 years, underwent closure of complex central airway defects with bioprosthetic material. All but 1 patient underwent prior operative or stenting procedures. Three patients had isolated airway defects, whereas 5 had fistulas between the airway and enteric tract. Defects involved the membranous wall of the trachea (n = 5), the anterior wall of the trachea (n = 1), or the main stem bronchus (n = 2). Five reconstructions were with aortic homograft and 3 with acellular dermal matrix. Bioprosthetic material was buttressed with muscle flap (n = 4), omentum (n = 2), or left unbuttressed (n = 2). The airway defect was successfully closed in all patients. There was no postoperative mortality or recurrence of the airway defect in short-term follow-up. Two patients required debridement of granulation tissue and 1 additional patient required airway balloon dilation. Progression of underlying metastatic disease explained the majority of long-term mortality (75%).

conclusionsBioprosthetic materials represent a viable option for management of large airway defects, including airway-enteric fistulae, that exceed the limits of primary repair.

Indexed as

BioprosthesisAcellular DermisAllograftsAortaBronchial FistulaBronchoscopyDebridementFemaleHumansMaleMiddle AgedRetrospective StudiesStentsSurgical FlapsTracheoesophageal FistulaTreatment Outcomeacellular dermal matrixaortic homograftbioprostheticlarge airway defects

Identifiers

PMID27751243
OpenAlexW2513940638

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.