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Cricotracheal Resection (cricotracheal + resection)

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Medical Sciences100%

Selected Abstracts

Cricotracheal resection for severe paediatric subglottic stenosis

CLINICAL OTOLARYNGOLOGY, Issue 4 2001
A.M.L. Den Heeten
Introduction. The objective was description and evaluation of the technique of cricotracheal resection in children with severe subglottic stenosis (Cotton grade 3 or 4).1 Methods. Retrospective analysis by means of a case study. This technique was used in five children who had a tracheotomy. The items analysed were history, age, grade of stenosis, moment of tracheotomy and cricotracheal resection, technique, peroperative findings and detubation/decanulation time. Results. Age at surgery varied from 7 months to 17 years. Four children had an acquired subglottic stenosis. One child had a congenital form of cricoid stenosis. All children underwent a cricotracheal resection in which 10,28 mm of trachea was resected in addition to part of the cricoid. Three children were decannulated peroperatively. The two other children were decannulated 3 and 12 months after the resection respectively. Conclusion. The results of this form of cricotracheal resection are satisfactory and equal to results mentioned in the literature. The cricotracheal resection, in certain cases, can be a good alternative for the cricoid-split technique. [source]

Single-stage surgical repair of benign laryngotracheal stenosis in adults

HEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 2 2004
Jolanda van den Boogert PhD
Abstract Background. Benign laryngotracheal stenosis causes considerable morbidity. In a retrospective study, we describe the results of our surgical treatment. Methods. Between June 1999 and June 2002, 14 adults with laryngotracheal stenosis were referred to our hospital. Stenosis resulted from mechanical ventilation in 11 patients, from Wegener's granulomatosis in 2 patients, and from strangulation in 1 patient. Eleven patients had a tracheotomy. One patient was found unfit for surgery. Nine patients underwent cricotracheal resection (CTR) with end-to-end anastomosis, and four patients underwent single-stage laryngotracheoplasty (SS-LTP) without stenting. Results. There were no perioperative deaths. Patients were extubated after mean of 3 days (range, 0,10 days; CTR 2.3 days vs SS-LTP 3.5 days, p = .45). There were in-hospital complications in five patients. Mean hospital stay was 19 days (range, 8,53 days; after CTR 24 days vs SS-LTP 9 days, p = .015). With regard to airway patency and voice recovery, 10 patients (77%) had good results, including 1 patient with two readmissions, and 3 (23%) had satisfactory results, including 1 patient with 11 additional nonsurgical interventions. Conclusions . Benign laryngotracheal stenosis in the adult patient can be repaired successfully using a strategy of two single-stage surgical procedures. All patients had good or satisfactory functional results. A multidisciplinary approach was essential to achieve these good results. © 2004 Wiley Periodicals, Inc. Head Neck26: 111,117, 2004 [source]

Cricotracheal reconstruction following external beam radiotherapy for recurrent thyroid cancer

ANZ JOURNAL OF SURGERY, Issue 4 2009
Bruce G. Ashford
Abstract Tracheal resection for invasive thyroid cancer is well described. Segmental tracheal or cricotracheal resection and reconstruction is an uncommon but established method in the treatment of invasive thyroid cancer. This has seldom been reported in a recurrence following external beam radiotherapy. Radiotherapy compromises healing and predisposes tracheal reconstruction to dehiscence. A fascia-only radial forearm free-flap reconstruction of a segmental cricotracheal resection is described. [source]

Cricotracheal resection for severe paediatric subglottic stenosis

CLINICAL OTOLARYNGOLOGY, Issue 4 2001
A.M.L. Den Heeten
Introduction. The objective was description and evaluation of the technique of cricotracheal resection in children with severe subglottic stenosis (Cotton grade 3 or 4).1 Methods. Retrospective analysis by means of a case study. This technique was used in five children who had a tracheotomy. The items analysed were history, age, grade of stenosis, moment of tracheotomy and cricotracheal resection, technique, peroperative findings and detubation/decanulation time. Results. Age at surgery varied from 7 months to 17 years. Four children had an acquired subglottic stenosis. One child had a congenital form of cricoid stenosis. All children underwent a cricotracheal resection in which 10,28 mm of trachea was resected in addition to part of the cricoid. Three children were decannulated peroperatively. The two other children were decannulated 3 and 12 months after the resection respectively. Conclusion. The results of this form of cricotracheal resection are satisfactory and equal to results mentioned in the literature. The cricotracheal resection, in certain cases, can be a good alternative for the cricoid-split technique. [source]

Paediatric airway stenosis: laryngotracheal reconstruction or cricotracheal resection?

CLINICAL OTOLARYNGOLOGY, Issue 5 2000
B.E.J. Hartley
Modern surgical management of paediatric laryngotracheal stenosis includes a wide variety of surgical procedures. These can broadly be divided into two groups. First, laryngotracheal reconstruction (LTR) procedures in which the cricoid cartilage is split and the framework is expanded with various combinations of cartilage grafts and stents; and second, cricotracheal resection (CTR) where a segmental excision of the stenotic segment is done and an end-to-end anastomosis is performed. In this article we review the literature and our experience and discuss the relative indications for CTR and LTR in children. High decannulation rates have been reported for CTR; however, it remains a more extensive procedure than LTR involving extensive tracheal mobilization. If the tracheostomy site is included in the resection then a significant length of trachea is excised. Alternatively, LTR with cartilage grafting can precisely correct a specific stenosis with minimum morbidity and high decannulation rates for grade 2 and selected grade 3 stenosis. For the more severe stenosis treatment with LTR has been less successful. Retrospective data from this institution suggests that the children with grade 4 stenosis treated with LTR are more likely to require a subsequent open procedure to achieve decannulation than those treated with CTR. LTR is a less extensive procedure and is preferred for grade 2, selected grade 3 stenosis. CTR is the preferred option for grade 4 and severe grade 3 stenosis with a clear margin between the stenosis and the vocal cords. [source]