Tracheobronchoplasty for tracheobronchomalacia

Charles T. Bakhos, Jessica Magarinos, Daniel Bent, Roman Petrov, Abbas E. Abbas

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


Tracheobronchoplasty (TBP) consists of splinting of the posterior membranous wall of the central airways with the goal of restoring a normal configuration and preventing excessive collapse in patients with tracheobronchomalacia (TBM). Despite some variation in technique, it consists of sewing a mesh on the posterior membranous wall of the trachea and both main stem bronchi. Traditionally performed through a right posterolateral thoracotomy, it should be reserved for cases of severe TBM. Surgical exposure necessitates dissection of the trachea from the thoracic inlet to the carina, as well the right main stem bronchus, bronchus intermedius and left main stem bronchus. Airway management in the operating room requires manipulation of the endotracheal tube (ETT) to allow safe placement of the sutures without puncturing the balloon. Other key technical considerations include downsizing of the airway with the mesh, and appropriate spacing of the sutures to ensure a plicating effect of the posterior membranous wall. More recently, the robotic platform was used to perform TBP surgery. Its fine precise wristed motion and excellent visualization offer potential advantages over a thoracotomy, and early outcomes of robotic-assisted TBP are encouraging. Longitudinal follow-up is still necessary to ensure the durability of repair in a patient population with significant underlying respiratory co-morbidities.

Original languageEnglish (US)
JournalJournal of Visualized Surgery
StatePublished - Apr 2022
Externally publishedYes


  • Splinting
  • airway
  • collapse
  • robotic
  • thoracotomy

ASJC Scopus subject areas

  • Surgery
  • Communication
  • Education


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