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Published on: January 20, 2010
Cricotracheal resection with hilar release for pediatric airway stenosis
Joseph C Taylor1, Ryan M Collar, Kevin F Wilson
1Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, 48109-0241, USA.
Objective:
To determine the effectiveness of cricotracheal resection and hilar release for high-grade, long-segment airway stenosis.
Design:
We identified 16 patients who underwent cricotracheal resection and hilar release, performed from January 1, 2004, through December 31, 2008, and conducted a retrospective review, emphasizing preoperative findings, operative technique, postoperative course, and results. Complete data sets were available for all patients.
Setting:
Tertiary care children's hospital.
Patients:
The study population comprised 16 patients younger than 18 years who underwent cricotracheal resection and hilar release performed by a thoracic airway team. All patients had high-grade, long-segment subglottic stenosis or severe, long-segment tracheomalacia.
Intervention:
Cricotracheal resection with hilar release.
Main Outcome Measures:
Decannulation rate and dehiscence rate.
Results:
Of the 16 patients, 15 were successfully decannulated. The one patient who was not decannulated remained ventilator dependent and has regained speech. There were no incidents of anastomotic dehiscence.
Conclusion:
Cricotracheal resection with hilar release is a novel and effective way to approach the problem of severe airway stenosis.
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