Pediatric partial cricotracheal resection: A new technique for the posterior cricoid anastomosis

    loading  Checking for direct PDF access through Ovid

Abstract

OBJECTIVE:

Partial cricotracheal resection has become a more popular procedure in the pediatric population as a treatment for severe subglottic stenosis. We describe a new technique for the posterior cricoid anastomosis.

STUDY DESIGN AND SETTING:

This is a case series of 4 pediatric patients with a Myer-Cotton grade III or IV subglottic stensosis.

SETTING:

Tertiary care hospital with a pediatric intensive care unit.

RESULTS:

All 4 patients were decannulated and there were no observed complications to include posterior mucosal dehiscence and/or recurrent laryngeal nerve injury.

CONCLUSIONS:

Placing sutures through the cricoid cartilage is technically less difficult than previously described techniques for treating subglottic stenosis near the undersurface of the true vocal folds and affords a more stable posterior mucosal suture line.

SIGNIFICANCE:

This technique provides a surgical means to treat high subglottic stenosis that closely approximates the true vocal folds by enabling a stable posterior mucosa to mucosa apposition.

SIGNIFICANCE:

EBM rating: Grade C-4

Related Topics

    loading  Loading Related Articles