Slide thyrocricotracheoplasty for the treatment of high-grade subglottic stenosis in children

Cervical Slide Tracheoplasty

“…In cases that involve the cricoid, we preferentially slide into the anterior cricoid. Unlike Kim et al, 5 we have not found it necessary to laterally distract the cricoid lamina onto the prevertebral fascia. In many cases, we have found that sliding a tongue of tracheal cartilage between the split anterior lamina of the cricoid provides adequate distraction.…”

“…Although the use of the CST has previously been described, 5 the present study is the first (to our knowledge) to illustrate the versatility of this operation, applying it to a wide variety of complex laryngotracheal anomalies. In the current series, we noted a high overall surgery-specific success rate of 79% and an overall success rate of 90%.…”

Outcomes of slide tracheoplasty in 101 children: A 17-year single-center experience

“…10,11 Its ease of application to a wide spectrum of stenotic airway disease has coined the phrase, ''1 slide fits all,'' 7 with its use not only limited to children with LSCTS but also extended to those with short segment stenosis and proximal tracheal disease. [20][21][22] Although surgery in these children can be challenging due to their heterogeneous presentation, we have found the slide technique to be applicable to all airway morphologies with low morbidity and mortality. Previous studies have reported favorable outcomes for STP with mortality reported at 5% to 30%.…”

Subglottic stenosis in paediatric patients

“…Subglottic stenosis (SGS) is defined as narrowing of the subglottis, which is a part of the larynx extending from the lower margin of the true vocal cords to the inferior border of the cricoid cartilage [1]. Subglottic stenosis can be an acquired clinical entity occuring after prolonged intubation or a congenital condition leading to respiratory distress during the neonatal period.…”