Recently recognised by Newsweek as one of top three paediatric hospitals in the world, Great Ormond Street Hospital (GOSH) is a globally renowned children’s hospital, championing innovation across more than
60 clinical specialties and 19 highly specialised national services.
The GOSH tracheal service comprises a group of leading health professionals who have been brought together to provide a range of expertise. The tracheal team specialises in managing children with complex congenital and/or acquired tracheal defects including stenosis, malacia and other rare congenital disorders of tracheobronchial tree. The team consist of specialists including cardiothoracic surgeons, ENT surgeons, interventional radiologists, pulmonologists, intensive care specialists, speech and language therapists and physiotherapists.
Since it was formed in 2000, the tracheal service has become one of the largest and most successful services in Europe and a world leader in the field.
The surgical technique the team use to treat tracheal stenosis is slide tracheoplasty. The GOSH team has the world’s most extensive experience of this type of surgery, managing close to 75% of all cases of complex airway repairs worldwide each year and this is reflected in the published outcomes, with the lowest death rates for this serious condition.
Between 1995 and the end of 2021, a total of 210 slide tracheoplasty procedures were been performed at GOSH, with an overall survival of 92% and the most recent weighted survival (recent experience in the last 5 years) of 96%. There has been an increasing number of slide tracheoplasties and a significant improvement in survival over time despite increasing patient complexity.
Other complex airway reconstructions of increasing nature include reconstruction of trachea following injury (specifically related to button battery related injuries) and on those with failed repair of trachea-oesophageal fistula. In both these conditions, the technique used is one of vascularised pericardial patch for tracheal reconstruction. The GOSH surgical team has revolutionised the use of this vascularised patch for trachea in many of the complex airway defects – with experience on this being close to 75 children. The overall success rate in this is 98% with stent needed in one-third of these children.
For those children with tracheomalacia – both open and thoracoscopic aortopexy and posterior tracheopexy is offered. External splints are often used as support to the trachea in resistant situations and work is in progress to get the most bio-effective external splints for this.
The GOSH team has the world’s most extensive experience of slide tracheoplasty, managing close to 75% of all cases of complex airway repairs worldwide.
Want to know more about Great Ormond Street Hospital (GOSH) in London and our office in UAE? We have been helping children overcome rare and complex conditions ever since we opened our doors in 1852. Stronger than ever, our team is made up of 300 exceptional and dedicated consultants across more than 60 specialties. We are a driving force in medical technology and research so we can provide much needed treatment for children across the world. Our International and Private Care service supports more than 5,000 children from over 80 countries every year. We have a compassionate and multi-lingual team to help our international patients and their families feel at home. GOSH has a longstanding relationship with the Middle East providing high quality and safe care for patients in a family-centred environment. A dedicated Gulf office ensures that children and families being referred to the hospital receive the very best experience possible as well as providing a local point of contact. The unit is tailored to the referral and treatment of international patients with a dedicated, multi-lingual team ensuring a smooth and efficient patient experience. |
- You can email us on: GulfOffice@gosh.nhs.uk Call us: +971 4 362 4722
Or visit: www.gosh.ae
