Cricotracheal Resection in Children | Critical Care Medicine | JAMA Otolaryngology–Head & Neck Surgery | JAMA Network
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Original Article
March 2001

Cricotracheal Resection in Children

Author Affiliations

From the Division of Otolaryngology, Children's Hospital Medical Center, Cincinnati, Ohio. Dr Hartley is now with the Hospital for Sick Children, London, England.

Arch Otolaryngol Head Neck Surg. 2001;127(3):289-292. doi:10.1001/archotol.127.3.289

Objective  To review our experience with cricotracheal resection in a pediatric population.

Design  Prospective case review of a cohort of patients undergoing cricotracheal resection.

Setting  Tertiary care pediatric hospital.

Patients  Forty-four consecutive patients undergoing cricotracheal resection between January 1, 1993, and December 31, 1998.

Main Outcome Measures  Decannulation rates.

Results  Thirty-eight (86%) of the 44 children are decannulated. The ultimate decannulation rate was independent of the presenting grade of subglottic stenosis. Fourteen children (100%) had a primary cricotracheal resection; all are decannulated. Twenty-one children had a salvage cricotracheal resection, and 19 (90%) are decannulated. Nine children had an extended cricotracheal resection, of whom 5 (56%) are decannulated. A primary cricotracheal resection was performed on a child on whom no previous open airway procedure had been performed. A salvage cricotracheal resection was performed on a child on whom previous open airway reconstruction had not resulted in an adequate airway. An extended cricotracheal resection was performed on a child on whom the cricotracheal resection was combined with a second procedure, either additional expansion cartilage grafting or an open arytenoid procedure. Most of these children had complex airway pathologic conditions.

Conclusion  Cricotracheal resection complements standard laryngotracheal reconstruction techniques in a pediatric population.