Endoscopic posterior costal cartilage graft placement for acute management of pediatric bilateral vocal fold paralysis without tracheostomy

Thakkar, Kunal H.; Gerber, Mark E.

doi:10.1016/j.ijporl.2008.06.015

Cited by 27 publications

(42 citation statements)

References 4 publications

(8 reference statements)

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“…Their work showed that the procedure carried minimum morbidity while allowing for decannulation and improved speech and swallowing 3. The technique, which built on a procedure introduced by Gray et al in 1994,4 has now been cited in a case series including the treatment of a 3‐week‐old neonate 5…”

Section: Introductionmentioning

confidence: 99%

Pediatric endoscopic airway management with posterior cricoid rib grafting

et al. 2011

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Objectives/Hypothesis: To confirm and extend reported successful treatment of posterior glottic stenosis in pediatric patients using endoscopic laser division of the posterior cricoid plate with augmentation using costal cartilage.Study Design: A retrospective chart review and case series. Methods: Medical records were examined to determine the surgical indications, outcomes, and postoperative complications of this procedure.Results: Twelve patients underwent the procedure, six females and six males, with an average age of 7 years (range, 2-26 years). There were 8/12 (67%) patients successfully decannulated after being tracheostomy dependent. There were no consistent anatomic abnormalities or surgical findings predictive of failure to decannulate. Average hospital stay was 3.6 days (range, 2-9 days). There were no deaths or other major complications; one patient had extrusion.Conclusions: Endoscopic posterior cricoid grafting is a valuable surgical option for patients with posterior glottic stenosis. The procedure is associated with low morbidity and permits decannulation in the majority of patients.

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Section: Introductionmentioning

confidence: 99%

Pediatric endoscopic airway management with posterior cricoid rib grafting

et al. 2011

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“…In 2003, Inglis described the technique for delivering a costal cartilage graft into the posterior cricoid lamina via an endoscopic approach. The initial series results were encouraging and subsequently replicated elsewhere …”

mentioning

confidence: 80%

Endoscopic posterior graft laryngotracheal reconstruction – our initial experience of surgical technique in six children

Evans

Bateman

Thevasagayam

2016

Clinical Otolaryngology

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“…The management of BVFI requires a balance between optimizing airway patency while simultaneously maintaining voice and swallowing function. In patients who present with severe dyspnea due to acute BVFI, tracheotomy is the gold standard treatment to establish a safe and secure airway . In less symptomatic cases of BVFI, alternate treatment options are often sought due the inherent impact on quality of life that tracheotomy carries.…”

Section: Discussionmentioning

confidence: 99%

“…Medial arytenoidectomy and transverse cordotomy involve permanent distortion of a vocal fold or arytenoid to achieve an adequate airway, but can worsen vocal quality . In pediatric BVFI patients, EPCS/RG has been well‐established as a surgical option for the management of BVFI . Unlike ablative surgical options such as arytenoidectomy and transverse cordotomy, EPCS/RG allows for lateralization of the arytenoid cartilages with widening of the interarytenoid space (and vocal folds) in a nonablative manner.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Posterior Cricoid Split With Graft in an Adult With Posterior Cricoid Fracture

et al. 2018

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A 45-year-old man presented with bilateral vocal fold immobility (BVFI) following a remote history of assault. He was found to have a comminuted, telescoped, and ossified posterior cricoid fracture on imaging. Electromyography revealed normal cricothyroid and thyroarytenoid muscle function, but moderate chronic denervation of bilateral posterior cricoarytenoid muscles. The patient underwent endoscopic posterior cricoid split with rib graft (EPCS/RG), and he regained moderate vocal abduction and full vocal adduction, resolution of dysphonia, and was decannulated. This report describes the only case of an adult with BVFI due to a posterior cricoid fracture that was successfully treated with EPCS/RG.

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Endoscopic posterior costal cartilage graft placement for acute management of pediatric bilateral vocal fold paralysis without tracheostomy

Cited by 27 publications

References 4 publications

Pediatric endoscopic airway management with posterior cricoid rib grafting

Pediatric endoscopic airway management with posterior cricoid rib grafting

Endoscopic posterior graft laryngotracheal reconstruction – our initial experience of surgical technique in six children

Endoscopic Posterior Cricoid Split With Graft in an Adult With Posterior Cricoid Fracture

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