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Cricoid split for subglottic stenosis in infancy.

B A Michna1, T M Krummel, T Tracy

  • 1Division of Pediatric, Medical College of Virginia, Richmond.

The Annals of Thoracic Surgery
|May 1, 1988
PubMed
Summary
This summary is machine-generated.

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Anterior cricoid split is a safe and effective definitive procedure for infants with subglottic stenosis, offering minimal morbidity and persistent airway patency compared to traditional tracheostomy.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Surgery
  • Respiratory Medicine

Background:

  • Tracheostomy was historically used for infant airway obstruction due to subglottic stenosis.
  • High morbidity and mortality associated with tracheostomy led to alternative procedures.
  • Anterior cricoid split was introduced by Cotton in 1980 as a definitive treatment.

Purpose of the Study:

  • To evaluate the efficacy and safety of anterior cricoid split in infants with subglottic stenosis.
  • To compare outcomes of anterior cricoid split with historical tracheostomy data.

Main Methods:

  • Anterior cricoid split was performed on 4 infants (3-9 months old) with acquired or congenital subglottic stenosis.
  • Infants required endotracheal tube ventilation post-procedure.

Related Experiment Videos

  • A nasotracheal tube was used for stenting (12-14 days), followed by extubation and bronchoscopy.

    • Main Results:

    • Follow-up ranged from 18 to 24 months.
    • Minimal postoperative morbidity was observed.
    • Persistent airway patency and no recurrence of stridor were noted in all patients.

    Conclusions:

    • Anterior cricoid split is a conclusive and effective surgical option for specific obstructive tracheal lesions in infants.
    • This procedure offers a favorable alternative to tracheostomy, with reduced complications.