Problems in postoperative management after anterior cricoid split.
OBJECTIVE
Describe complications and postoperative management problems associated with the anterior cricoid split.


METHODS
Retrospective case series.


METHODS
Urban referral hospital.


METHODS
Nine consecutive patients with acquired subglottic stenosis believed amenable to the anterior cricoid split.


METHODS
The anterior cricoid split was performed on 10 occasions between June 1989 and June 1992.


METHODS
Extubation or decannulation.


RESULTS
Six of nine patients underwent decannulation, with success. Management problems included those related to surgery or postoperative endotracheal stenting, preexisting medical conditions, and postoperative sedation requirement.


CONCLUSIONS
The number of postoperative complications and management problems was highest in those patients with both bronchopulmonary dysplasia and preexisting tracheotomy.
Tavin
E
E
Department of Otolaryngology, Montefiore Medical Center, Bronx, NY.
Singer
L
L
Bassila
M
M
D001424:Bacterial Infections; D001997:Bronchopulmonary Dysplasia / Q000150:complications; D002675:Child, Preschool; D003413:Cricoid Cartilage / Q000601:surgery*; D004868:Equipment Failure; D005260:Female; D005931:Glottis / Q000473:pathology; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D007829:Laryngostenosis / Q000601:surgery; D008297:Male; D011182:Postoperative Care; D001261:Pulmonary Atelectasis / Q000209:etiology; D012189:Retrospective Studies; D015607:Stents / Q000009:adverse effects; D014136:Tracheitis / Q000209:etiology / Q000382:microbiology; D014139:Tracheostomy / Q000009:adverse effects
D006993:Hypnotics and Sedatives