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Endoscopic Posterior Cricoid Split and Rib Graft Without Tracheostomy: Case and Literature Review
Author(s) -
Jang Minyoung,
Grunstein Eli
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.29449
Subject(s) - medicine , tracheal stenosis , surgery , endotracheal tube , airway , stenosis , laryngotracheal stenosis , subglottic stenosis , cricoid cartilage , intubation , larynx , radiology
Endoscopic posterior cricoid split and rib grafting (EPCS/RG) for the treatment of posterior laryngeal stenosis has some advantages over traditional open approaches, including improved surgical visualization and decreased morbidity. Many pediatric patients who undergo EPCS/RG have indwelling tracheostomy, which may be utilized to help manage the airway perioperatively. The role for de novo tracheostomy placement at the time of EPCS/RG is less clear. We present three cases from a tertiary children's hospital in which EPCS/RG was safely performed without tracheostomy. For patients with posterior laryngeal stenosis but without tracheostomy, EPCS/RG with endotracheal tube stenting might be a safe option. Laryngoscope , 131:E2599–E2602, 2021