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Anterior cricoid split for subglottic stenosis: Experience at the children's hospital of new jersey
Author(s) -
Palasti Sandra,
Respler Don S.,
Fieldman Robert J.,
Levitt Joel
Publication year - 1992
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 - 10.1288/00005537-199209000-00008
Subject(s) - medicine , subglottic stenosis , cricoid cartilage , surgery , stenosis , atelectasis , paresis , tracheomalacia , intubation , myotomy , glottis , larynx , radiology , lung , esophagus , airway , achalasia
Twenty‐five children with acquired and congenital subglottic stenosis (SGS) were managed with the anterior cricoid split (ACS) operation at the authors' institution from September 1987 to January 1990. Ages ranged from 2.5 months to 5.5 years. Twenty‐one (84%) of the children were extubated after 5 to 14 days of nasotracheal intubation and have remained stable after an average follow‐up of 10 months. Atelectasis was a common postoperative problem, encountered in 12 (48%) of the patients. Other complications included a tracheocutaneous fistula, prolapse of soft tissue into the tracheal lumen via the cricoid incision, a subglottic granuloma, and 2 cases of prolonged lower extremity paresis following reversal of vecuronium. The results of this retrospective study indicate that the ACS is a valuable first‐line procedure for the management of SGS in a variety of pediatric patients.