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[Value of cricoid split in congenital subglottic stenoses]
F Denoyelle1, E N Garabedian, P Roelly
1Service ORL et de Chirurgie Cervico-Faciale, Hôpital Trousseau, Paris.
Insights
A cricoid split procedure showed positive outcomes in two infants with congenital subglottic stenosis. This surgical technique offers a simple approach for this rare condition in newborns.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Neonatal Care
Background:
- Congenital subglottic stenosis is a rare but serious condition in infants.
- Surgical intervention is often necessary for severe cases impacting breathing.
- Traditional treatments for acquired subglottic stenosis differ from congenital forms.
Observation:
- Two infants under 5 weeks old presented with congenital subglottic stenosis.
- A cricoid split procedure was performed on both infants.
- The outcomes of the cricoid split were evaluated.
Findings:
- The cricoid split procedure yielded good results in both infants with congenital subglottic stenosis.
- This approach is simpler compared to other surgical techniques for congenital cases.
- The procedure allows for future laryngoplasty if initial results are insufficient.
Implications:
- Cricoid split may be a viable and straightforward surgical option for congenital subglottic stenosis in neonates.
- This technique provides a less invasive initial treatment with options for revision.
- Further studies are warranted to establish the long-term efficacy of cricoid split for congenital subglottic stenosis.
Abstract:
The authors report about the cases of two infants less than 5 weeks old, who presented with congenital subglottic stenosis and in whom a cricoid split produced good results. This procedure, which is classically reserved for difficult extubation of infants due to acquired subglottic stenosis, is compared with the other surgical techniques used in the congenital condition. It may be useful in the latter case owing to its simplicity and to the possibility of performing laryngoplasty later in case of failure.