An approach to the failed cricoid split operation.
The cricoid split operation is a well established treatment for subglottic stenosis; the success rate for this procedure is approximately 77%. The management of patients who fail this operation has traditionally involved tracheostomy followed by delayed laryngotracheoplasty. We have treated 22 patients using the cricoid split--6 required subsequent tracheostomy. Two-thirds of the patients with a tracheostomy have been unable to be decannulated, even after laryngotracheoplasty. In contrast, 3 patients had repeat cricoid split operations instead of tracheostomy. All 3 of these children have had no further problems with their airway. The authors propose that in patients who fail the cricoid split operation one consider repeating the procedure instead of performing a tracheostomy.
Children's Hospital and Health Center, San Diego, CA.
J W
JW
Ochi
A B
AB
Seid
S M
SM
Pransky
D002648:Child; D002675:Child, Preschool; D003413:Cricoid Cartilage / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007817:Laryngeal Cartilages / Q000601:surgery*; D007829:Laryngostenosis / Q000601:surgery*; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D014139:Tracheostomy