A comparison of anterior cricoid split with and without costal cartilage graft for acquired subglottic stenosis

Mark A. Richardson, Andrew F. Inglis

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

The use of the anterior cricoid split has allowed the extubation of multiple children who would otherwise require tracheostomy. Success, however, has been variable and difficult postoperative complications have occurred. Since 1981, 22 children at the Children's Hospital and Medical Center in Seattle, Washington have failed extubation because of subglottic disease as defined previously by Cotton and Seid. Two approaches have been used in managing the extubation of these children, one employing the anterior cricoid split and one employing the anterior cricoid split with immediate tracheoplasty using costal cartilage grafting. Immediate costal cartilage grafting resulted in fewer complications and a higher success rate in extubating patients with acquired subglottic stenosis.

Original languageEnglish (US)
Pages (from-to)187-193
Number of pages7
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume22
Issue number2
DOIs
StatePublished - Sep 1991

Keywords

  • Cricoid split
  • Immediate laryngotracheal reconstruction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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