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).
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Rutter MJ, Hartley BEJ, Cotton RT (2001) Cricotracheal resection in children. Arch Otolaryngol Head Neck Surg 127: 289–292
Monnier P, Lang F, Savary M (2001) Traitement des sténoses sous-gottiques de l'enfant par résection circo-trachéale: expérience lausannoise dans 58 cas. Ann Otolaryngol Cervicofac 118
Monnier P, Lang F, Savary M (1999) Cricotracheal resection for adult and pediatric subglottic stenoses: similitaries and differences. Otolaryngol Head Neck Surg 10: 311–315
Monnier P, Lang F, Savary M (1998) Partial cricotracheal resection for severe pediatric, subglottic stenosis: update of the Lausanne experience. Ann Otol Rhinol Laryngol 107: 961–968
Triglia JM (2000) La résection crico-trachéale chez l'enfant: indications, technique, résultats. Ann Otolaryngol Chir Cervicofac 177: 155–160
Vollrath M, Freihorst J, von der Hardt H (1999) Die Chirurgie der erworbenen laryngotrachealen Stenosen im Kindesalter. Erfahrungen und Ergebnisse von 1988–1998. Teil II: Die cricotracheale Resektion. HNO 47: 611–623
Myer CHM III, Hartley BEJ (2000) Pediatric laryngotracheal surgery. Laryngoscope 110: 1875–1883
Hartley BEJ, Cotton RT (2000) Pediatric airway stenosis: laryngotracheal reconstruction or cricotracheal resection? Clin Otolaryngol 25: 342–349
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Monnier, P., Lang, F. & Savary, M. Partial cricotracheal resection for pediatric subglottic stenosis: a single institution's experience in 60 cases.. Eur Arch Otorhinolaryngol 260, 295–297 (2003). https://doi.org/10.1007/s00405-002-0465-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-002-0465-y