BACKGROUND: Stenosis of the upper subglottis presents special problems. Its vicinity to the vocal folds leads to a high incidence of vocal fold fixation, and also precludes surgical treatment by cricotracheal resection and anastomosis OBJECTIVE: To describe the experience with posterior cricoid split and insertion of free costal cartilage graft in the treatment of high subglottic stenosis and posterior commissure glottic stenosis. SETTING: Tertiary care university hospital. METHODS: Four cases with Grade III/ IV high subglottic stenosis/ posterior commissure glottic webbing recalcitrant to previous surgical therapy treated with posterior cricoid split and insertion of free costal cartilage graft by a laryngo-fissure approach. Temporary airway stenting for 4 months post surgery with a silicone T-Tube. RESULTS: Successful restoration of the airway and decannulation in all 4 cases. CONCLUSION: Grade III or IV stenosis of the upper half of the subglottis is successfully treated in a high proportion of patients with posterior cricoid split and augmentation with costal cartilage free graft.
BACKGROUND:Stenosis of the upper subglottis presents special problems. Its vicinity to the vocal folds leads to a high incidence of vocal fold fixation, and also precludes surgical treatment by cricotracheal resection and anastomosis OBJECTIVE: To describe the experience with posterior cricoid split and insertion of free costal cartilage graft in the treatment of high subglottic stenosis and posterior commissure glottic stenosis. SETTING: Tertiary care university hospital. METHODS: Four cases with Grade III/ IV high subglottic stenosis/ posterior commissure glottic webbing recalcitrant to previous surgical therapy treated with posterior cricoid split and insertion of free costal cartilage graft by a laryngo-fissure approach. Temporary airway stenting for 4 months post surgery with a silicone T-Tube. RESULTS: Successful restoration of the airway and decannulation in all 4 cases. CONCLUSION: Grade III or IV stenosis of the upper half of the subglottis is successfully treated in a high proportion of patients with posterior cricoid split and augmentation with costal cartilage free graft.
Authors: Jolanda van den Boogert; L J Hans Hoeve; Ard Struijs; René R P M Hagenouw; Ad J J C Bogers Journal: Head Neck Date: 2004-02 Impact factor: 3.147
Authors: S Pookamala; Rakesh Kumar; Alok Thakar; C Venkata Karthikeyan; Ashu Seith Bhalla; R C Deka Journal: Indian J Otolaryngol Head Neck Surg Date: 2011-12-20