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Slide thyrocricotracheoplasty for the treatment of high-grade subglottic stenosis in children

 Seong Min Kim  ;  Jae Ho Shin  ;  Eun Young Chang  ;  Hye Kyung Chang  ;  Jung Tak Oh  ;  Seok Joo Han 
 Journal of Pediatric Surgery, Vol.45(12) : 2317-2321, 2010 
Journal Title
 Journal of Pediatric Surgery 
Issue Date
Abnormalities, Multiple ; Child, Preschool ; Cricoid Cartilage/surgery* ; Debridement ; Female ; Humans ; Infant ; Laryngostenosis/surgery* ; Male ; Methicillin-Resistant Staphylococcus aureus ; Postoperative Complications ; Reoperation ; Respiration, Artificial ; Respiratory Sounds ; Retrospective Studies ; Staphylococcal Infections/microbiology ; Surgical Wound Infection/microbiology ; Thyroid Cartilage/surgery* ; Trachea/surgery* ; Tracheostomy ; Treatment Outcome ; Voice Quality
Subglottic stenosis ; Slide thyrocricotracheoplasty ; Slide tracheoplasty ; Tracheostomy
BACKGROUND/PURPOSE: The aim of this study was to describe our early experiences with a novel surgical procedure, "slide thyrocricotracheoplasty," for the treatment of high-grade subglottic stenosis in children. PATIENTS AND METHODS: A retrospective analysis was performed in 7 children who underwent slide thyrocricotracheoplasty for high-grade subglottic stenosis from 1996 to 2009. RESULTS: Three patients were male and four were female. The etiology of subglottic stenosis was congenital (n = 4) or acquired (n = 3). All patients had undergone a tracheostomy before slide thyrocricotracheoplasty. Median age at operation was 16 months (range, 1-25 months). The median follow-up period after definitive operation was 58 months (range, 13-156 months). There was one case requiring debridement and re-anastomosis of slide thyrocricotracheoplasty site because of anastomotic disruption caused by a methicillin-resistant Staphylococcus aureus infection of the cartilage and one case requiring a minor operation to remove granulation tissue. At final follow-up, all patients did not have any airway cannulation with satisfactory functional outcome in terms of breathing and swallowing. All except one were noted to have acceptable vocal function. The patient with unsatisfactory vocal function continued to receive voice rehabilitation treatment. CONCLUSIONS: Slide thyrocricotracheoplasty offers an efficient surgical treatment option with minimal morbidity for high-grade subglottic stenosis in children.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seong Min(김성민)
Shin, Jae Ho(신재호)
Oh, Jung Tak(오정탁)
Chang, Eun Young(장은영)
Chang, Hye Kyung(장혜경)
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
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