Sliding flap tracheoplasty.
The optimal method for surgical management of subglottic stenosis is based upon careful assessment of the location, caliber, length, and maturity of the stenotic segment, as well as associated conditions. For patients with a mature stenosis of short length, excision of the anterior arch of the cricoid and first ring and immediate reconstruction by means of a sliding flap of the next two to three rings of trachea offer a one-stage definitive treatment without the need for grafting. We report four cases of subglottic stenosis and one case of cricoid chondroblastoma in which reconstruction of the airway was successful and prompt. For carefully selected cases, sliding flap tracheoplasty may be a useful alternative to procedures in which the airway is expanded by means of grafting.
Gates
G A
GA
Department of Otolaryngology, Washington University School of Medicine, St. Louis, MO.
Tucker
J A
JA
D000293:Adolescent; D000328:Adult; D002804:Chondroblastoma / Q000601:surgery; D003413:Cricoid Cartilage / Q000601:surgery; D006801:Humans; D007223:Infant; D007822:Laryngeal Neoplasms / Q000601:surgery; D007829:Laryngostenosis / Q000601:surgery*; D008722:Methods; D008875:Middle Aged; D015607:Stents; D013524:Surgical Flaps / Q000379:methods*; D014132:Trachea / Q000601:surgery*