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Rutter MJ, Hartley BEJ, Cotton RT. Cricotracheal Resection in Children. Arch Otolaryngol Head Neck Surg. 2001;127(3):289–292. doi:10.1001/archotol.127.3.289
To review our experience with cricotracheal resection in a pediatric population.
Prospective case review of a cohort of patients undergoing cricotracheal resection.
Tertiary care pediatric hospital.
Forty-four consecutive patients undergoing cricotracheal resection between January 1, 1993, and December 31, 1998.
Main Outcome Measures
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.
Cricotracheal resection complements standard laryngotracheal reconstruction techniques in a pediatric population.
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