title: Cricotracheal resection in children weighing less than 10 kg.
abstract: OBJECTIVE
  To review cricotracheal resection (CTR) in children weighing less than 10 kg.
  
  
  METHODS
  Retrospective study of 17 patients (mean follow-up, 23 months) from 3 ear, nose, and throat pediatric centers.
  
  
  METHODS
  Seventeen children (10 boys and 7 girls; mean age, 14.6 months; and mean weight, 7.6 kg) undergoing CTR from June 1995 to March 2003.
  
  
  METHODS
  Decannulation rates and endoscopies.
  
  
  RESULTS
  The cause was congenital subglottic stenosis in 2 children (12%) and acquired subglottic stenosis in 15 (88%). All but 1 had grade 3 or 4 stenosis. The mean hospitalization duration was 34 days. Single-stage CTR was performed in 11 children (65%), with peroperative decannulation in 7. Extubation of these patients occurred between days 3 and 9. Decannulation of the other 6 patients was performed after a median of 15 days. Sixteen (94%) of the 17 children were decannulated. Four patients required additional carbon dioxide laser treatment for subsequent glottic or subglottic edema or granulomas, but no reintubation was necessary. One child could not be decannulated because of bronchopulmonary disease, and subglottic stenosis recurred. Long-term tracheotomy was avoided in all other patients. Another child died of cardiac disease. All other patients remained free of significant subglottic stenosis at follow-up.
  
  
  CONCLUSIONS
  Cricotracheal resection in small children weighing less than 10 kg was a safe and effective procedure for severe subglottic stenosis. To our knowledge, this is the first reported attempt of CTR in this weight category, providing results comparable to those published in older children.
authors.affiliation: Department of Pediatric Ear, Nose, and Throat, Armand-Trousseau Children's Hospital, Paris VI University, Assistance Publique-Hôpitaux de Paris, Paris, France. noel.garabedian@trs.ap-hop-paris.fr
authors.forename: Erea-Noël
authors.initials: EN
authors.lastname: Garabedian
authors.forename: Richard
authors.initials: R
authors.lastname: Nicollas
authors.forename: Gilles
authors.initials: G
authors.lastname: Roger
authors.forename: Jerôme
authors.initials: J
authors.lastname: Delattre
authors.forename: Patrick
authors.initials: P
authors.lastname: Froehlich
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Triglia
mesh_terms: D001835:Body Weight; D003413:Cricoid Cartilage / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007829:Laryngostenosis / Q000151:congenital / Q000601:surgery; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D012189:Retrospective Studies; D014132:Trachea / Q000601:surgery*; D016896:Treatment Outcome