Cricotracheal Resection

Sandu, Kishore; Monnier, Philippe

doi:10.1016/j.otc.2008.04.012

Cited by 45 publications

(45 citation statements)

References 22 publications

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“…When a surgical approach is chosen for BTS, tracheotracheal resection anastomosis or cricotracheal resection with thyrotracheal anastomosis are the treatments of choice for grade 3 and 4 stenosis [24] of the Myer-Cotton classification [25]. If the stenosis is purely tracheal, tracheotracheal resection anastomosis is the procedure of choice [20].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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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.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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“…Nos casos de RCT, as taxas de decanulação variam de 91% a 95% (7). Em nossa série, o índice de decanulação geral foi de 83,3%.…”

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Reconstrução laringotraqueal em único estágio para tratamento de estenose subglótica em crianças

Smith¹,

Schweiger²,

Manica³

et al. 2012

Arq Int Otorrinolaringol

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SUMMARYIntroduction: In recent decades, airway reconstruction has become the treatment of choice for subglottic stenosis (SGS) in children, which is performed in either single or multiple stages. However, there is evidence in the literature that singlestage surgery is more effective. Objective: To evaluate the success rate of single-stage laryngotracheoplasty (LTP) and cricotracheal resection (CTR) in patients that were treated in our hospital. Materials and Method: We performed a retrospective study of children undergoing laryngotracheal reconstruction. Results: Twenty-four children were included. The etiology of SGS was postintubation in 91.6% and congenital in 8.3%. One patient (4.2%) had grade 4 SGS, 17 (70.8%) presented with grade 3 SGS, 4 (16.6%) had grade 2 SGS, 1 (4.2%) had grade 3 SGS associated with glottic stenosis, and 1 (4.2%) had grade 3 SGS with tracheal stenosis. We performed 26 LTPs and 3 CTRs. Decannulation rates were 66% in the CTR procedures and 85.7% in the LTP procedures; the overall decannulation rate was 83.3%. All children presented with fever in the postoperative period, but were afebrile after the tube was removed. Conclusion: Our series showed a decannulation rate of 83.3%.

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“…The current gold standard for surgical management of Grades III and IV subglottic stenosis is cricotracheal resection with end-toend anastamosis [7]. This operation is now a common tool in the armamentarium of all paediatric airway surgeons.…”

Section: Discussionmentioning

confidence: 99%