Related Experiment Video

Updated: Mar 16, 2026

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
09:57

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

7.7K

Extended cricotracheal resection with posterior costochondral grafting for complex pediatric subglottic stenosis

Jaime Penchyna Grub1, Enrique Ortíz Hernández2, Gustavo Teyssier Morales1

  • 1Department of Thoracic Surgery and Endoscopy, Hospital Infantil de México, Federico Gómez, Mexico.

International Journal of Pediatric Otorhinolaryngology
|August 7, 2016
PubMed

Insights

Extended cricotracheal resection (CTR) effectively treats severe childhood subglottic stenosis. However, prolonged post-operative stenting may negatively impact successful decannulation outcomes in these pediatric airway surgery patients.

Area of Science:

  • Pediatric Otolaryngology
  • Airway Reconstruction Surgery
  • Pediatric Respiratory Medicine

Background:

  • Severe laryngotracheal stenosis in children presents significant surgical challenges.
  • Pediatric subglottic stenosis involving the vocal cords is particularly difficult to manage.
  • Extended cricotracheal resection (CTR) is a complex procedure for airway reconstruction.

Purpose of the Study:

  • To review the experience with extended CTR in young children with severe glottic-subglottic stenosis (SGS).
  • To identify clinical parameters associated with successful surgical outcomes in pediatric SGS.
  • To evaluate the effectiveness of extended CTR for severe pediatric SGS.

Main Methods:

  • Retrospective analysis of consecutive pediatric patients undergoing extended double-stage CTR.
  • Study period: 2004-2014 at a tertiary referral center.
  • Inclusion criteria: Severe glottic-subglottic stenosis.

Main Results:

  • Eighty percent (20/25) of pediatric patients were successfully decannulated.
  • Post-operative sequelae (e.g., arytenoid dislocation, re-stenosis) occurred in 7 patients.
  • Sequelae were associated with significantly lower decannulation rates (42.8% vs. 94.4%) and longer decannulation times.

Conclusions:

  • Extended CTR is an effective surgical intervention for the majority of severe pediatric glottic-subglottic stenosis cases.
  • Longer durations of post-operative stenting correlate with poorer outcomes.
  • Careful management of post-operative stenting is crucial for optimizing results in pediatric airway surgery.
Abstract

Keywords:
Extended cricotracheal resectionPediatric airwayPediatric subglottic stenosis

More Related Videos

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease09:10

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

Published on: January 20, 2010

14.4K
Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation07:28

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

Published on: October 11, 2024

824

Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
744
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...
5.9K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
2.2K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
4.5K
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...
2.3K
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
852