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Experience with anterior cricoid split for infantile subglottic stenosis
1Department of Otolaryngology, Royal Children's Hospital, Parkville, Victoria, Australia.
Journal of Paediatrics and Child Health
|August 1, 1994
Summary
Anterior cricoid split (ACS) surgery is a safe and effective treatment for infantile subglottic stenosis (SGS). This study shows a high success rate for ACS in managing SGS, offering an alternative to tracheostomy.
Area of Science:
- Pediatric surgery
- Otolaryngology
- Respiratory medicine
Background:
- Infantile subglottic stenosis (SGS) presents significant management challenges.
- Tracheostomy is a common intervention, but carries risks.
- Anterior cricoid split (ACS) offers a potential alternative surgical approach.
Purpose of the Study:
- To evaluate the safety and efficacy of anterior cricoid split (ACS) in managing infantile subglottic stenosis (SGS).
- To assess the rate of successful extubation and need for further interventions after ACS.
Main Methods:
- Retrospective study of 12 infants undergoing ACS between 1989 and 1993.
- Patients included those dependent on endotracheal tubes, CPAP, or with recurrent croup.
- Analysis of surgical outcomes, including extubation success and subsequent procedures.
Main Results:
- Eleven of 12 infants were successfully extubated post-ACS.
- Two patients required repeat ACS, and one eventually needed a tracheostomy.
- ACS demonstrated a high rate of successful extubation for various SGS presentations.
Conclusions:
- Anterior cricoid split (ACS) is a viable and safe alternative to tracheostomy for infantile subglottic stenosis (SGS).
- The procedure facilitates successful extubation in a majority of cases.
- ACS management of SGS shows promising outcomes in this retrospective series.