Related Experiment Videos
Anterior cricoid split, 1977-1987. Evolution of a technique
R T Cotton1, C M Myer, G O Bratcher
1Department of Otolaryngology and Maxillofacial Surgery, University of Cincinnati Medical Center, OH.
Archives of Otolaryngology--Head & Neck Surgery
|November 1, 1988
Summary
The anterior cricoid split effectively treats severe subglottic stenosis in infants, avoiding tracheotomy when specific patient criteria are met. This surgical technique offers a viable alternative for pediatric airway management.
Area of Science:
- Pediatric Otolaryngology
- Pediatric Surgery
- Respiratory Medicine
Background:
- Acquired subglottic stenosis is a known complication of endotracheal intubation in infants.
- Historically, severe cases often necessitated prolonged tracheotomy before reconstructive surgery.
- The anterior cricoid split procedure emerged as an alternative to tracheotomy for laryngeal stenosis.
Purpose of the Study:
- To analyze a ten-year experience with the anterior cricoid split procedure in 67 pediatric patients.
- To detail surgical technique evolution and contrast with other cricoid decompression methods.
- To evaluate the efficacy of the anterior cricoid split for treating infant subglottic stenosis.
Main Methods:
- Retrospective analysis of 67 pediatric patients undergoing anterior cricoid split over ten years.
- Documentation of surgical technique modifications during the study period.
- Comparison with alternative cricoid decompression techniques described in the literature.
Main Results:
- The anterior cricoid split procedure demonstrated efficacy in treating severe laryngeal stenosis.
- Strict adherence to specific patient selection criteria is crucial for successful outcomes.
- The procedure was found to be effective in avoiding tracheotomy in selected infants.
Conclusions:
- The anterior cricoid split is an effective treatment for severe subglottic stenosis in infants.
- Patient selection is critical: the procedure is best suited for neonates/young infants with glottic/subglottic pathology and adequate pulmonary reserve.
- This technique provides a valuable alternative to tracheotomy for managing pediatric airway stenosis.