Pediatric Surgery International

, Volume 34, Issue 10, pp 1041–1046 | Cite as

Anterior–posterior cricoid split combined with silastic T-tube stenting for subglottic stenosis in children: a single surgeon’s experience

  • Yuko BitohEmail author
  • Yuichi Okata
  • Jiro Tsugawa
  • Harunori Miyauchi
  • Yosuke Aida
  • Yumiko Tachibanaki
  • Yumiko Nakai
  • Yuichiro Tomioka
Original Article



Treatment strategies and clinical outcomes of subglottic stenosis (SGS) in children are varied due to the degree and range of stenotic lesions. The optimal surgical procedure for SGS in children is still under debate. The aim of this study was to evaluate the clinical outcomes of our anterior–posterior cricoid (APC) split technique combined with long-term T-tube stenting for grade II or III SGS in children.


A retrospective chart review of children with SGS between January 2011 and December 2016 was conducted. APC split was performed via open procedure under rigid bronchoscopy. After splitting, a silastic T-tube was inserted as a stent and removed 6 months postoperatively.


Seven children underwent APC split during the period. All children had undergone previous tracheostomy, and APC split was performed when the children were 3–9 years old without any intraoperative complications. Median duration of T-tube stenting was 11 months, and all children were decannulated successfully. There were T-tube-related complications, including two tube-tip granulation that required intervention and one accidental T-tube removal.


APC split is a technically simple and reproducible procedure, and it could be employed as an optimal procedure for SGS in children.


Subglottic stenosis Children Cricoid split T-tube Stent 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The Ethics Committee considered this study as case series and confirmed that ethics approval was waived. For this type of study formal consent are not required.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Yuko Bitoh
    • 1
    Email author
  • Yuichi Okata
    • 1
  • Jiro Tsugawa
    • 2
  • Harunori Miyauchi
    • 1
  • Yosuke Aida
    • 1
  • Yumiko Tachibanaki
    • 1
  • Yumiko Nakai
    • 1
  • Yuichiro Tomioka
    • 1
  1. 1.Division of Pediatric Surgery, Department of SurgeryKobe University Hospital, Kobe University Graduate School of MedicineKobeJapan
  2. 2.Department of Pediatric SurgeryTakatsuki General HospitalTakatsukiJapan

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