Partial Cricotracheal Resection and Extended Cricotracheal Resection for Pediatric Laryngotracheal Stenosis.

Monnier P

doi:10.1016/j.thorsurg.2018.01.012

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Journal article

Partial Cricotracheal Resection and Extended Cricotracheal Resection for Pediatric Laryngotracheal Stenosis.

Monnier P Otolaryngology, Head and Neck Surgery Department, University Hospital CHUV, Rue du Bugnon 46, Lausanne CH 1011, Switzerland. Electronic address: monnier.phido@gmail.com.

2018-04-09

Published in:

Thoracic surgery clinics. - 2018

Laryngotracheal reconstruction

Reconstructive Surgical Procedures

English The management of pediatric laryngotracheal stenosis remains a challenging problem for the surgeon. The complexity of the various preoperative situations implies that no single treatment modality can solve the problem. This article focuses on the yield of partial cricotracheal resection and extended cricotracheal resection for the most severe grades of stenosis. Overall decannulation rates of 95% and 100% can be expected for isolated subglottic stenosis in patients with and without comorbidities but only 68% and 90% for patients with glotto-subglottic stenosis, respectively. Predictors of less favorable outcomes are severity of the stenosis, glottic involvement, and presence of comorbidities.

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