• A recommended approach to post-extubation infant subglottic stenosis secondary to subglottic edema employs the recently described anterior cricoid split (ACS) procedure. This technique provides an expanded subglottic airway with minimal paratracheal dissection and does not require concomitant tracheotomy. We applied this procedure in managing extubation difficulty in pediatric as well as neonatal patients. Five of ten patients in our series did not fulfill the traditional criteria for ACS. Relief of stridor and avoidance of tracheotomy were accomplished in nine of ten patients. One patient in whom mechanical ventilation was reinstituted developed an interesting complication. In properly selected infants with subglottic airway compromise, the ACS appears to be an effective adjunct in facilitating extubation.
(Arch Otolaryngol Head Neck Surg 1988;114:1404-1406)
Drake AF, Babyak JW, Niparko JK, Koopmann CF. The Anterior Cricoid Split: Clinical Experience With Extended Indications. Arch Otolaryngol Head Neck Surg. 1988;114(12):1404–1406. doi:https://doi.org/10.1001/archotol.1988.01860240054023
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