[Use of anterior cricoid split as an effective therapy for neonatal laryngeal stenosis]

Anterior cricoid split was described in 1980 by COTTON and SEID as an alternative to tracheotomy for managing neonatal laryngeal stenosis. Seven patients managed in our unit using this technique since 1989 were reviewed. Five evolved favorably. Two patients in whom the technique failed underwent successful laryngotracheal reconstruction. Complications were minimal, the most important being persistent tracheocutaneous fistula. The most common complication was accidental postoperative extubation. The success of the technique depends on the availability of a pediatric intensive care unit staffed by experienced personnel and with suitable equipment.