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Posterior cricoid split with costal cartilage augmentation for high subglottic stenosis

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Background

Stenosis of the upper subglottis presents special problems. Its vicinity to the vocal folds leads to a high incidence of vocal fold fixation, and also precludes surgical treatment by cricotracheal resection and anastomosis

Objective

To describe the experience with posterior cricoid split and insertion of free costal cartilage graft in the treatment of high subglottic stenosis and posterior commissure glottic stenosis.

Setting

Tertiary care university hospital.

Methods

Four cases with Grade III/ IV high subglottic stenosis/ posterior commissure glottic webbing recalcitrant to previous surgical therapy treated with posterior cricoid split and insertion of free costal cartilage graft by a laryngo-fissure approach. Temporary airway stenting for 4 months post surgery with a silicone T-Tube.

Results

Successful restoration of the airway and decannulation in all 4 cases.

Conclusion

Grade III or IV stenosis of the upper half of the subglottis is successfully treated in a high proportion of patients with posterior cricoid split and augmentation with costal cartilage free graft.

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Authors and Affiliations

  1. All India Institute of Medical Sciences, New Delhi, 110 029, India

    T. Pradhan, Sikka Kapil & A. Thakar

Authors
  1. T. Pradhan
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  2. Sikka Kapil
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  3. A. Thakar
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Correspondence to A. Thakar.

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Pradhan, T., Kapil, S. & Thakar, A. Posterior cricoid split with costal cartilage augmentation for high subglottic stenosis. Indian J Otolaryngol Head Neck S 60, 147–151 (2008). https://doi.org/10.1007/s12070-007-0120-4

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  • DOI: https://doi.org/10.1007/s12070-007-0120-4

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