An approach to the failed cricoid split operation.

J W Ochi; A B Seid; S M Pransky

doi:10.1016/0165-5876(87)90035-8

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An approach to the failed cricoid split operation.

J W Ochi·A B Seid·S M Pransky

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Abstract

The cricoid split operation is a well established treatment for subglottic stenosis; the success rate for this procedure is approximately 77%. The management of patients who fail this operation has traditionally involved tracheostomy followed by delayed laryngotracheoplasty. We have treated 22 patients using the cricoid split--6 required subsequent tracheostomy. Two-thirds of the patients with a tracheostomy have been unable to be decannulated, even after laryngotracheoplasty. In contrast, 3 patients had repeat cricoid split operations instead of tracheostomy. All 3 of these children have had no further problems with their airway. The authors propose that in patients who fail the cricoid split operation one consider repeating the procedure instead of performing a tracheostomy.

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Child Child, Preschool Cricoid Cartilage Humans Infant Infant, Newborn Laryngeal Cartilages Laryngostenosis Postoperative Complications Recurrence Reoperation Tracheostomy Journal Article

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J W Ochi, A B Seid, S M Pransky. 1987. An approach to the failed cricoid split operation.. https://doi.org/10.1016/0165-5876(87)90035-8

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