Anterior cricoid split: The chicago experience with an alternative to tracheotomy

Growth of the cricoid involves a diffuse pattern of cell proliferation throughout the cricoid in fetal tissue. At term and until age 1 year, the region of proliferation is more restricted to the outer subperichondrial surface. By age 4 years, cell proliferation has stopped. Histomorphologic changes in the developing cricoid include decreasing cell counts per standard unit area, but increasing surface area with age. The aging chondrocytes develop an increasingly organized layout to form a radially arranged columnar pattern similar to that in the growth plate of the developing limb bud.

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Novel Cell Proliferation Marker for Identification of a Growth Center in the Developing Human Cricoid

Kim

Mankarious

2000

Arch Otolaryngol Head Neck Surg

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Anterior Cricoid Split, 1977-1987: Evolution of a Technique

Cotton

Myer²,

Bratcher³

et al. 1988

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\Acquired subglottic stenosis is a well-documented complication of endotracheal intubation in infants. In past years, many of these patients required a tracheotomy for a period of years prior to laryngotracheal reconstruction. The anterior cricoid split procedure was developed as a method of treatment for severe laryngeal stenosis in infants and young children without resorting to a tracheotomy. An analysis of our institution's ten\x=req-\ year experience with 67 patients is presented, detailing the changes in surgical technique that have taken place over that time period. This is contrasted with alternative means of cricoid decompression advocated by other surgeons. Our review supports the efficacy of this procedure when there is strict adherence to certain criteria prior to the performance of the operation. Specifically, this operation should be restricted to neonates or young infants whose pathology is limited to the glottis and subglottis or both, and in whom there is adequate pulmonary reserve. (Arch Otolaryngol Head Neck Surg 1988;114:1300-1302 Si nce its development more than ten years ago,1 the anterior cricoid split procedure has undergone an evo¬ lution in terms of both the surgical technique and the population for whom the procedure is indicated. Our institution's experience with 67 patients who have undergone an ante¬ rior cricoid split procedure is reviewed, emphasizing the current indications, contraindications, and surgical techniques utilized.

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The Anterior Cricoid Split: Clinical Experience With Extended Indications

Drake

Babyak²,

Niparko

et al. 1988

Archives of Otolaryngology - Head and Neck Surgery

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Anterior cricoid split: The chicago experience with an alternative to tracheotomy

Cited by 60 publications

References 15 publications

Novel Cell Proliferation Marker for Identification of a Growth Center in the Developing Human Cricoid

Novel Cell Proliferation Marker for Identification of a Growth Center in the Developing Human Cricoid

Anterior Cricoid Split, 1977-1987: Evolution of a Technique

The Anterior Cricoid Split: Clinical Experience With Extended Indications

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