Partial cricotracheal resection for pediatric subglottic stenosis: a single institution's experience in 60 cases

Eur Arch Otorhinolaryngol. 2003 Jul;260(6):295-7. doi: 10.1007/s00405-002-0465-y. Epub 2002 Dec 24.

Abstract

In our study, 60 infants and children, each with a severe subglottic stenosis (SGS), underwent partial cricotracheal resection (PCTR) with primary thyrotracheal anastomosis. According to the Myer-Cotton classification, two were grade II, 41 were grade III and 17 were grade IV stenoses. Of the 60 patients, 57 (95%) are presently decannulated, and one patient sustained a complete restenosis. Two patients with better than 80% subglottic airways still are waiting for decannulation: one because of bilateral cricoarytenoid joint fixation and the second because of temporary stenting of the subglottis with a Montgomery T-tube. The rate of decannulation is 97% (36 of 37 cases) in primary PCTRs, 100% (13 of 13 cases) in salvage PCTRs for failed laryngotracheal reconstructions (LTR) and 70% (7 of 10 cases) in extended PCTRs (i.e., PCTR associated with an additional open-airway procedure).

MeSH terms

  • Adolescent
  • Anastomosis, Surgical / methods
  • Child
  • Child, Preschool
  • Cricoid Cartilage / surgery*
  • Dyspnea / complications
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Laryngostenosis / etiology*
  • Laryngostenosis / surgery*
  • Male
  • Reoperation
  • Thyroid Gland / surgery
  • Trachea / surgery*
  • Treatment Outcome