Posterior cricoid split with costal cartilage augmentation for high subglottic stenosis

Pradhan, Tejashri; Sikka, Kapil; Thakar, Alok

doi:10.1007/s12070-007-0120-4

Cited by 12 publications

(13 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It points to inadequate choice of surgical technique and requires open surgical procedures. Endoscopic surgery, in our experience, is not successful in subglottic, circular and Wbrous stenoses, as well for those in the arytenoid region [14].…”

Section: Discussionmentioning

confidence: 59%

See 1 more Smart Citation

Laryngotracheal stenosis and restenosis. What has the influence on the final outcome?

Jović

Dragičević

Komazec

et al. 2012

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

The aim of this study is to analyze the impact of various parameters on the course and treatment outcome in patients with laryngotracheal stenosis and recurrent stenosis. Two groups of patients were compared: Group I included 29 patients with primary stenosis, and Group II included 22 patients with recurrent stenosis. The most frequent etiological factor for the development of stenosis was prolonged endotracheal intubation (79.3:77.3%), with subglottic-tracheal (44.8:45.5%) and tracheal (48.3:36.4%) localization being the most affected. Subglottic-tracheal stenosis was more common in men. There were no significant differences between the groups in regard to the grade of lumen obstruction and the length of the resected segment. In male patients, the length of the resected stenotic segment was significantly longer. Subglottic-tracheal stenoses were longer than tracheal ones. Various surgical procedures were performed, with additional management of recurrent laryngeal nerve paralysis, if necessary. Laryngotracheal reconstruction (LTR) with costal cartilage grafting (CCG) was statistically significantly more often performed in Group II, while cricotracheal resection (CTR) was more common in Group I. The incidence of complications in Group I was 24.1%, and in Group II it was 31.8%. Satisfactory airway lumen with undisturbed breathing was achieved in 93.1% of patients in Group I, and in 95.3% in Group II. Since the success rate was similar in both groups of the patients, it could be concluded that treatment outcome depends less on the factors associated with the stenosis, and more on adequate choice of surgical procedure and surgical team know-how.

show abstract

Section: Discussionmentioning

confidence: 59%

“…Favorable results in stenosis management are achieved by open surgery procedures [6,7,[14][15][16] which were applied in our series of patients. PCTR and SRT were the most frequent techniques in the management of stenosis.…”

Section: Discussionmentioning

confidence: 99%

Laryngotracheal stenosis and restenosis. What has the influence on the final outcome?

Jović

Dragičević

Komazec

et al. 2012

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Cricoid enlargement procedures have also been described [26-28] and allow a surgical approach when the glottic space is involved. They consist of the insertion of a piece of cartilage in a vertical full-height incision of the posterior cricoid, which causes posterior enlargement of the cricoid space.…”

Section: Discussionmentioning

confidence: 99%

Experience with Transcordal Silicone Stents in Adult Laryngotracheal Stenosis: A Bicentric Retrospective Study

et al. 2018

View full text Add to dashboard Cite

Background: Benign stenosis involving laryngeal and upper tracheal structures represents a therapeutic challenge. Open surgery and endoscopic management have to be discussed by a multidisciplinary board in order to evaluate the risk and benefit for each patient. Objective: The objective of this retrospective study was to report the experience of two French centers with transcordal silicone stents (TSS) in the endoscopic management of benign laryngotracheal stenosis (BLTS) in adults, with focus on efficacy, safety, and tolerability. Methods: We performed a retrospective chart review of all cases of BLTS treated with TSS between January 2001 and June 2017 at two tertiary centers in France: the Centre Hospitalier Régional Universitaire de Strasbourg and the Hôpital Nord de Marseille. Results: A total of 17 patients were included. Eleven had a tracheostomy at initial management which consisted of 8 T-tubes and 9 strictly endoluminal stents placements. The main complications were minor aspirations in 5 patients (29%), granulation in 3 patients (18%), migration in 2 patients (12%), and severe dysphonia in 3 patients (18%). After a mean duration of 18.3 months, 11 patients (65%) had had their TSS definitely removed, 13 patients were tracheostomy free (76%), and a TSS remained in place in 4 patients (24%). Conclusions: Adult BLTS treatment with TSS placement is associated with low morbidity and excellent clinical outcomes, with a large proportion of patients free of airway instrumentation on long-term follow-up.

show abstract

“…Now, it is the procedure of choice in high subglottic stenosis. 13 LTR with the help of rib cartilage is technically demanding as the laryngotracheal airway is stabilized by the anterior and posterior cricoids split. Although the overall outcome is encouraging, this technique may be associated with physical and psychosocial problems along with the cost factors when failure of this technique occurs as patient may need retracheostomy.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…resection of the cricoids arch and adjoining trachea if needed) and anastomosis of normal trachea to the thyroid cartilage anteriorly and posteriorly with cricoid lamina. 13 The cricotracheal resection with end to end anastomosis has a fair success rate but the unpredictability of the fate of the anastomosis and high chance of anastomotic failure with serious complications plague this technique. Laryngoplasty with mucoperichondrial grafting and placement of silicon stents is as effective as cricotracheal resection but with lesser complications.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Management of Laryngotracheal Stenosis - Still Remains a Challenge for Successful Outcome

Swain

Sahu

Mohanty³

et al. 2016

Apollo Medicine

View full text Add to dashboard Cite

Posterior cricoid split with costal cartilage augmentation for high subglottic stenosis

Abstract: Background Stenosis of the upper subglottis presents special problems. Its vicinity to the vocal folds leads to a high incidence of vocal fold fi xation, and also precludes surgical treatment by cricotracheal resection and anastomosis

Cited by 12 publications

References 17 publications

Laryngotracheal stenosis and restenosis. What has the influence on the final outcome?

Laryngotracheal stenosis and restenosis. What has the influence on the final outcome?

Experience with Transcordal Silicone Stents in Adult Laryngotracheal Stenosis: A Bicentric Retrospective Study

Management of Laryngotracheal Stenosis - Still Remains a Challenge for Successful Outcome

Contact Info

Product

Resources

About