Endoscopic Posterior Cricoid Split and Rib Graft Without Tracheostomy: Case and Literature Review. (17th February 2021)

• Record Type: Journal Article
• Authors: Jang, Minyoung; Grunstein, Eli
• Is Part Of: Laryngoscope. Volume 131:Number 9(2021)
• Page Start: E2599
• Page End: E2602
• Publication Date: 2021-02-17
• Subjects: Airway surgery -- laryngeal stenosis -- laryngeal reconstruction -- laryngotracheal reconstruction -- laryngotracheoplasty -- glottic stenosis -- subglottic stenosis -- pediatric -- children; Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.29449
• Languages: English
• ISSNs: 0023-852X

Abstract

Abstract : Endoscopic posterior cricoid split and rib grafting (EPCS/RG) for the treatment of posterior laryngeal stenosis has some advantages over traditional open approaches, including improved surgical visualization and decreased morbidity. Many pediatric patients who undergo EPCS/RG have indwelling tracheostomy, which may be utilized to help manage the airway perioperatively. The role for de novo tracheostomy placement at the time of EPCS/RG is less clear. We present three cases from a tertiary children's hospital in which EPCS/RG was safely performed without tracheostomy. For patients with posterior laryngeal stenosis but without tracheostomy, EPCS/RG with endotracheal tube stenting might be a safe option. Laryngoscope, 131:E2599–E2602, 2021