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Endoscopic posterior cricoid split with rib grafting.

Vikash K Modi¹

¹Pediatric Otolaryngology, Department of Otolaryngology- Head & Neck Surgery, Weill Cornell Medical College, 428 East 72nd Street, New York, NY 10021, USA. vkm2001@med.cornell.edu

Advances in Oto-Rhino-Laryngology

|April 5, 2012

Summary

Bilateral vocal fold immobility (BVFI) in children often requires tracheostomy. Endoscopic posterior cricoid split with rib grafting after age one is preferred for decannulation.

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Area of Science:

Otolaryngology
Pediatric Surgery
Laryngology

Background:

Bilateral vocal fold immobility (BVFI) encompasses vocal fold paralysis and cricoarytenoid joint fixation.
BVFI can lead to laryngeal stenosis, often necessitating tracheostomy in pediatric patients.
Decannulation remains a significant challenge in managing pediatric BVFI.

Purpose of the Study:

To evaluate the efficacy of endoscopic posterior cricoid split with rib grafting for decannulation in children with BVFI.
To present a preferred surgical approach for managing pediatric airway obstruction due to BVFI.

Main Methods:

Retrospective review of pediatric patients with BVFI requiring tracheostomy.
Surgical intervention involved endoscopic posterior cricoid split combined with rib grafting.
Procedures were performed after the age of one year.

Main Results:

The study focuses on the surgical technique and its success in achieving decannulation.
Details on patient selection, surgical outcomes, and complication rates are discussed.

Conclusions:

Endoscopic posterior cricoid split with rib grafting is a viable surgical option for decannulation in pediatric BVFI.
This technique offers a potential solution for airway management in children with persistent BVFI.