Pediatric endoscopic airway management with posterior cricoid rib grafting
costal cartilage; posterior glottic expansion; posterior glottic stenosis
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. © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Provenzano, M., Hulstein, S., Solomon, D., Bauman, N., Manaligod, J., Kacmarynski, D., & Smith, R. (2011). Pediatric endoscopic airway management with posterior cricoid rib grafting. Laryngoscope, 121 (5). http://dx.doi.org/10.1002/lary.21579