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Partial Cricotracheal Resection and Extended Cricotracheal Resection for Pediatric Laryngotracheal Stenosis

Philippe Monnier1

  • 1Otolaryngology, Head and Neck Surgery Department, University Hospital CHUV, Rue du Bugnon 46, Lausanne CH 1011, Switzerland.

Thoracic Surgery Clinics
|April 9, 2018
PubMed

Insights

Surgical resection offers high success for pediatric laryngotracheal stenosis. Success rates vary based on stenosis severity and location, with isolated subglottic stenosis yielding better outcomes than glotto-subglottic involvement.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Respiratory Medicine

Background:

  • Pediatric laryngotracheal stenosis presents complex surgical management challenges.
  • A single treatment modality is insufficient for diverse preoperative scenarios.
  • Severe stenosis necessitates advanced surgical interventions.

Purpose of the Study:

  • To evaluate the efficacy of partial cricotracheal resection and extended cricotracheal resection.
  • To assess outcomes for severe pediatric laryngotracheal stenosis.
  • To identify predictors of treatment success.

Main Methods:

  • Retrospective analysis of patients undergoing partial or extended cricotracheal resection.
  • Focus on severe grades of laryngotracheal stenosis.
  • Evaluation of decannulation rates and associated factors.

Main Results:

  • High decannulation rates (95-100%) for isolated subglottic stenosis.
  • Lower decannulation rates (68-90%) for glotto-subglottic stenosis.
  • Severity, glottic involvement, and comorbidities predict poorer outcomes.

Conclusions:

  • Partial and extended cricotracheal resection are effective for severe pediatric laryngotracheal stenosis.
  • Glottic involvement and comorbidities significantly impact surgical success.
  • Tailored surgical approaches are crucial for optimal patient outcomes.

Keywords:
ChildrenCricotracheal resectionInfantsLaryngotracheal reconstructionLaryngotracheal stenosisPediatricStentsSubglottic stenosis

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