Cricoid Split for Subglottic Stenosis in Infancy

Barbara A. Michna, Thomas M. Krummel, Thomas Tracy, James W. Brooks, Arnold M. Salzberg

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Historically, tracheostomy has been used for infants with airway obstruction caused by congenital or acquired subglottic stenosis. Postoperative morbidity and mortality with this provisional operation led Cotton, in 1980, to substitute anterior cricoid split as the primary definitive procedure. Within the past three years, anterior cricoid split has been performed in 4 infants, aged 3 to 9 months, with acquired (3 patients) or congenital (1 patient) subglottic stenosis requiring ventilation through an endotracheal tube. Following cricoid split, the trachea is stented for 12 to 14 days by a nasotracheal tube, with extubation and rigid bronchoscopy in the operating room with the patient under anesthesia to confirm healing and patency. During an 18-to 24-month follow-up in these 4 patients, morbidity has been minimal, patency has persisted, and stridor has not recurred. Accordingly, a conclusive operation, cricoid split, rather than a temporizing tracheostomy may be employed for certain obstructive tracheal lesions early in life.

Original languageEnglish (US)
Pages (from-to)541-543
Number of pages3
JournalAnnals of Thoracic Surgery
Volume45
Issue number5
DOIs
StatePublished - Jan 1 1988

Fingerprint

Pathologic Constriction
Laryngostenosis
Tracheostomy
Morbidity
Respiratory Sounds
Bronchoscopy
Airway Obstruction
Operating Rooms
Trachea
Ventilation
Anesthesia
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Michna, B. A., Krummel, T. M., Tracy, T., Brooks, J. W., & Salzberg, A. M. (1988). Cricoid Split for Subglottic Stenosis in Infancy. Annals of Thoracic Surgery, 45(5), 541-543. https://doi.org/10.1016/S0003-4975(10)64528-6
Michna, Barbara A. ; Krummel, Thomas M. ; Tracy, Thomas ; Brooks, James W. ; Salzberg, Arnold M. / Cricoid Split for Subglottic Stenosis in Infancy. In: Annals of Thoracic Surgery. 1988 ; Vol. 45, No. 5. pp. 541-543.
@article{b69de75196bb4e52a234e6712ee05b23,
title = "Cricoid Split for Subglottic Stenosis in Infancy",
abstract = "Historically, tracheostomy has been used for infants with airway obstruction caused by congenital or acquired subglottic stenosis. Postoperative morbidity and mortality with this provisional operation led Cotton, in 1980, to substitute anterior cricoid split as the primary definitive procedure. Within the past three years, anterior cricoid split has been performed in 4 infants, aged 3 to 9 months, with acquired (3 patients) or congenital (1 patient) subglottic stenosis requiring ventilation through an endotracheal tube. Following cricoid split, the trachea is stented for 12 to 14 days by a nasotracheal tube, with extubation and rigid bronchoscopy in the operating room with the patient under anesthesia to confirm healing and patency. During an 18-to 24-month follow-up in these 4 patients, morbidity has been minimal, patency has persisted, and stridor has not recurred. Accordingly, a conclusive operation, cricoid split, rather than a temporizing tracheostomy may be employed for certain obstructive tracheal lesions early in life.",
author = "Michna, {Barbara A.} and Krummel, {Thomas M.} and Thomas Tracy and Brooks, {James W.} and Salzberg, {Arnold M.}",
year = "1988",
month = "1",
day = "1",
doi = "10.1016/S0003-4975(10)64528-6",
language = "English (US)",
volume = "45",
pages = "541--543",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "5",

}

Michna, BA, Krummel, TM, Tracy, T, Brooks, JW & Salzberg, AM 1988, 'Cricoid Split for Subglottic Stenosis in Infancy', Annals of Thoracic Surgery, vol. 45, no. 5, pp. 541-543. https://doi.org/10.1016/S0003-4975(10)64528-6

Cricoid Split for Subglottic Stenosis in Infancy. / Michna, Barbara A.; Krummel, Thomas M.; Tracy, Thomas; Brooks, James W.; Salzberg, Arnold M.

In: Annals of Thoracic Surgery, Vol. 45, No. 5, 01.01.1988, p. 541-543.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cricoid Split for Subglottic Stenosis in Infancy

AU - Michna, Barbara A.

AU - Krummel, Thomas M.

AU - Tracy, Thomas

AU - Brooks, James W.

AU - Salzberg, Arnold M.

PY - 1988/1/1

Y1 - 1988/1/1

N2 - Historically, tracheostomy has been used for infants with airway obstruction caused by congenital or acquired subglottic stenosis. Postoperative morbidity and mortality with this provisional operation led Cotton, in 1980, to substitute anterior cricoid split as the primary definitive procedure. Within the past three years, anterior cricoid split has been performed in 4 infants, aged 3 to 9 months, with acquired (3 patients) or congenital (1 patient) subglottic stenosis requiring ventilation through an endotracheal tube. Following cricoid split, the trachea is stented for 12 to 14 days by a nasotracheal tube, with extubation and rigid bronchoscopy in the operating room with the patient under anesthesia to confirm healing and patency. During an 18-to 24-month follow-up in these 4 patients, morbidity has been minimal, patency has persisted, and stridor has not recurred. Accordingly, a conclusive operation, cricoid split, rather than a temporizing tracheostomy may be employed for certain obstructive tracheal lesions early in life.

AB - Historically, tracheostomy has been used for infants with airway obstruction caused by congenital or acquired subglottic stenosis. Postoperative morbidity and mortality with this provisional operation led Cotton, in 1980, to substitute anterior cricoid split as the primary definitive procedure. Within the past three years, anterior cricoid split has been performed in 4 infants, aged 3 to 9 months, with acquired (3 patients) or congenital (1 patient) subglottic stenosis requiring ventilation through an endotracheal tube. Following cricoid split, the trachea is stented for 12 to 14 days by a nasotracheal tube, with extubation and rigid bronchoscopy in the operating room with the patient under anesthesia to confirm healing and patency. During an 18-to 24-month follow-up in these 4 patients, morbidity has been minimal, patency has persisted, and stridor has not recurred. Accordingly, a conclusive operation, cricoid split, rather than a temporizing tracheostomy may be employed for certain obstructive tracheal lesions early in life.

UR - http://www.scopus.com/inward/record.url?scp=0023948467&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023948467&partnerID=8YFLogxK

U2 - 10.1016/S0003-4975(10)64528-6

DO - 10.1016/S0003-4975(10)64528-6

M3 - Article

C2 - 3365045

AN - SCOPUS:0023948467

VL - 45

SP - 541

EP - 543

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 5

ER -