OBJECTIVE: To determine the effectiveness of cricotracheal resection and hilar release for high-grade, long-segment airway stenosis. DESIGN: We identified 16 patients who underwent cricotracheal resection and hilar release, performed from January 1, 2004, through December 31, 2008, and conducted a retrospective review, emphasizing preoperative findings, operative technique, postoperative course, and results. Complete data sets were available for all patients. SETTING: Tertiary care children's hospital. PATIENTS: The study population comprised 16 patients younger than 18 years who underwent cricotracheal resection and hilar release performed by a thoracic airway team. All patients had high-grade, long-segment subglottic stenosis or severe, long-segment tracheomalacia. INTERVENTION: Cricotracheal resection with hilar release. MAIN OUTCOME MEASURES: Decannulation rate and dehiscence rate. RESULTS: Of the 16 patients, 15 were successfully decannulated. The one patient who was not decannulated remained ventilator dependent and has regained speech. There were no incidents of anastomotic dehiscence. CONCLUSION: Cricotracheal resection with hilar release is a novel and effective way to approach the problem of severe airway stenosis.
OBJECTIVE: To determine the effectiveness of cricotracheal resection and hilar release for high-grade, long-segment airway stenosis. DESIGN: We identified 16 patients who underwent cricotracheal resection and hilar release, performed from January 1, 2004, through December 31, 2008, and conducted a retrospective review, emphasizing preoperative findings, operative technique, postoperative course, and results. Complete data sets were available for all patients. SETTING: Tertiary care children's hospital. PATIENTS: The study population comprised 16 patients younger than 18 years who underwent cricotracheal resection and hilar release performed by a thoracic airway team. All patients had high-grade, long-segment subglottic stenosis or severe, long-segment tracheomalacia. INTERVENTION: Cricotracheal resection with hilar release. MAIN OUTCOME MEASURES: Decannulation rate and dehiscence rate. RESULTS: Of the 16 patients, 15 were successfully decannulated. The one patient who was not decannulated remained ventilator dependent and has regained speech. There were no incidents of anastomotic dehiscence. CONCLUSION: Cricotracheal resection with hilar release is a novel and effective way to approach the problem of severe airway stenosis.
Authors: Andreas Kirschbaum; Afshin Teymoortash; Carlos Suárez; Jatin P Shah; Carl E Silver; Iain Nixon; Alessandra Rinaldo; Luiz P Kowalski; K Thomas Robbins; Alfio Ferlito Journal: Auris Nasus Larynx Date: 2016-04-14 Impact factor: 1.863
Authors: Ph Monnier; F G Dikkers; H Eckel; C Sittel; C Piazza; G Campos; M Remacle; G Peretti Journal: Eur Arch Otorhinolaryngol Date: 2015-05-08 Impact factor: 2.503