Slide thyrocricotracheoplasty: a novel surgical technique for congenital laryngeal atresia.
The aim of this study was to introduce a new surgical technique for the correction of congenital laryngeal atresia. A female baby had laryngeal atresia at birth and received emergency tracheostomy at another hospital. The baby visited our hospital at 7 months of age for corrective surgery of airway obstruction. We used a new surgical technique for reconstruction of her airway, the slide thyrocricotracheoplasty, which was a modification of slide tracheoplasty and anterior cricoid split. The extubation was successful at the postoperative fifth day, and the baby was discharged on the 33rd day after operation. The serial follow-up bronchoscopy on the fourth and 18th postoperative months revealed good healing and normal growth of tissue at operation site without stenosis and granulation. Slide thyrocricotracheoplasty produced a desirable result and offered the same advantages as slide tracheoplasty. The authors believe that this technique offers an efficient surgical procedure for the single-staged correction of congenital laryngeal atresia.
Kim
Seong Min
SM
Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine, Shinchon-dong 134, Seodaemoon-gu, 120-752 Seoul, South Korea.
Han
Seok Joo
SJ
Choi
Hong Sik
HS
Nam
Yong Taek
YT
Oh
Jung Tak
JT
Choi
Seung Hoon
SH
D003413:Cricoid Cartilage / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007818:Laryngeal Diseases / Q000151:congenital / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D014135:Tracheal Stenosis / Q000601:surgery*