title: Total cricoidectomy and laryngotracheal reconstruction for subglottic stenosis with glottic involvement.
abstract: We present a case of subglottic stenosis involving the glottis with inflammatory destruction of the cricoid cartilage after prolonged endotracheal intubation. Total cricoidectomy and laryngotracheal anastomosis were performed with T-tube placement that was retained for five months postoperatively. After decannulation of the T-tube, the airway was well restored, with good vocal cord opening. Good respiratory and phonatory results were obtained during normal daily activity, although a slightly hoarse voice was present, but no aspiration was observed. Total cricoidectomy and laryngotracheal reconstruction may be considered suitable for subglottic stenosis with glottic involvement, if accompanied by inflammatory destruction of the cricoid cartilage.
authors.affiliation: Department of Thoracic Surgery, Saiseikai Hyogo Prefecture Hospital, Fujiwaradai Nakamachi, 5-1-1, Kita-ku, Kobe, Hyogo 651-1302, Japan. granada@d3.dion.ne.jp
authors.forename: Kazumichi
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Kenichi
authors.initials: K
authors.lastname: Tomiyama
authors.forename: Masahiro
authors.initials: M
authors.lastname: Mitsuoka
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D003413:Cricoid Cartilage / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005931:Glottis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007828:Laryngoscopy; D007829:Laryngostenosis / Q000175:diagnosis / Q000601:surgery*; D007830:Larynx / Q000000981:diagnostic imaging / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000295:instrumentation; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome