Partial cricotracheal resection for pediatric subglottic stenosis: a single institution's experience in 60 cases

Related Experiment Video

Updated: Sep 20, 2026

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
09:10

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

Published on: January 20, 2010

P Monnier1, F Lang, M Savary

  • 1Department of Otolaryngology and Head and Neck Surgery, University Hospital, CHUV, 1011 Lausanne, Switzerland. Philippe.Monnier@chuv.hospvd.ch

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|August 9, 2003
PubMed

Insights

Partial cricotracheal resection (PCTR) successfully decannulated 95% of infants and children with severe subglottic stenosis (SGS). This surgical approach offers a high success rate for airway reconstruction in pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Severe subglottic stenosis (SGS) poses significant challenges in pediatric airway management.
  • Surgical intervention is often necessary for SGS cases that do not respond to conservative treatments.

Purpose of the Study:

  • To evaluate the efficacy of partial cricotracheal resection (PCTR) with primary thyrotracheal anastomosis in treating severe SGS in infants and children.
  • To determine the decannulation rates and identify factors influencing outcomes in this patient cohort.

Main Methods:

  • A retrospective study of 60 infants and children with severe SGS (Myer-Cotton grades II-IV) who underwent PCTR.
  • Surgical technique involved primary thyrotracheal anastomosis.
  • Patient outcomes were assessed based on decannulation status, restenosis, and need for further interventions.

Main Results:

  • Of 60 patients, 57 (95%) were successfully decannulated.
  • One patient experienced complete restenosis.
  • Decannulation rates varied by surgical approach: 97% for primary PCTR, 100% for salvage PCTR, and 70% for extended PCTR.

Conclusions:

  • PCTR with primary thyrotracheal anastomosis is a highly effective surgical treatment for severe subglottic stenosis in pediatric patients.
  • The procedure demonstrates a high success rate for decannulation, with specific variations noted for different surgical scenarios.

Related Concept Videos

Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...