Partial cricotracheal resection for pediatric subglottic stenosis: a single institution's experience in 60 cases.
In our study, 60 infants and children, each with a severe subglottic stenosis (SGS), underwent partial cricotracheal resection (PCTR) with primary thyrotracheal anastomosis. According to the Myer-Cotton classification, two were grade II, 41 were grade III and 17 were grade IV stenoses. Of the 60 patients, 57 (95%) are presently decannulated, and one patient sustained a complete restenosis. Two patients with better than 80% subglottic airways still are waiting for decannulation: one because of bilateral cricoarytenoid joint fixation and the second because of temporary stenting of the subglottis with a Montgomery T-tube. The rate of decannulation is 97% (36 of 37 cases) in primary PCTRs, 100% (13 of 13 cases) in salvage PCTRs for failed laryngotracheal reconstructions (LTR) and 70% (7 of 10 cases) in extended PCTRs (i.e., PCTR associated with an additional open-airway procedure).
Monnier
P
P
Department of Otolaryngology and Head and Neck Surgery, University Hospital, CHUV, 1011 Lausanne, Switzerland. Philippe.Monnier@chuv.hospvd.ch
Lang
F
F
Savary
M
M
D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003413:Cricoid Cartilage / Q000601:surgery*; D004417:Dyspnea / Q000150:complications; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007829:Laryngostenosis / Q000209:etiology* / Q000601:surgery*; D008297:Male; D012086:Reoperation; D013961:Thyroid Gland / Q000601:surgery; D014132:Trachea / Q000601:surgery*; D016896:Treatment Outcome