Anterior cricoid split for subglottic stenosis: Experience at the children's hospital of new jersey
Twenty‐five children with acquired and congenital subglottic stenosis (SGS) were managed with the anterior cricoid split (ACS) operation at the authors' institution from September 1987 to January 1990. Ages ranged from 2.5 months to 5.5 years. Twenty‐one (84%) of the children were extubated aft...
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| Veröffentlicht in: | The Laryngoscope 1992-09, Vol.102 (9), p.997-1000 |
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| creator | Palasti, Sandra Respler, Don S. Fieldman, Robert J. Levitt, Joel |
| description | Twenty‐five children with acquired and congenital subglottic stenosis (SGS) were managed with the anterior cricoid split (ACS) operation at the authors' institution from September 1987 to January 1990. Ages ranged from 2.5 months to 5.5 years. Twenty‐one (84%) of the children were extubated after 5 to 14 days of nasotracheal intubation and have remained stable after an average follow‐up of 10 months. Atelectasis was a common postoperative problem, encountered in 12 (48%) of the patients. Other complications included a tracheocutaneous fistula, prolapse of soft tissue into the tracheal lumen via the cricoid incision, a subglottic granuloma, and 2 cases of prolonged lower extremity paresis following reversal of vecuronium. The results of this retrospective study indicate that the ACS is a valuable first‐line procedure for the management of SGS in a variety of pediatric patients. |
| doi_str_mv | 10.1288/00005537-199209000-00008 |
| format | Article |
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Ages ranged from 2.5 months to 5.5 years. Twenty‐one (84%) of the children were extubated after 5 to 14 days of nasotracheal intubation and have remained stable after an average follow‐up of 10 months. Atelectasis was a common postoperative problem, encountered in 12 (48%) of the patients. Other complications included a tracheocutaneous fistula, prolapse of soft tissue into the tracheal lumen via the cricoid incision, a subglottic granuloma, and 2 cases of prolonged lower extremity paresis following reversal of vecuronium. The results of this retrospective study indicate that the ACS is a valuable first‐line procedure for the management of SGS in a variety of pediatric patients.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1288/00005537-199209000-00008</identifier><identifier>PMID: 1518365</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Biological and medical sciences ; Child, Preschool ; Cricoid Cartilage - surgery ; Female ; Follow-Up Studies ; Glottis ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Infant ; Intubation, Intratracheal - adverse effects ; Intubation, Intratracheal - instrumentation ; Laryngostenosis - surgery ; Male ; Medical sciences ; New Jersey ; Postoperative Complications ; Pulmonary Atelectasis - etiology ; Retrospective Studies ; Stents ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Ages ranged from 2.5 months to 5.5 years. Twenty‐one (84%) of the children were extubated after 5 to 14 days of nasotracheal intubation and have remained stable after an average follow‐up of 10 months. Atelectasis was a common postoperative problem, encountered in 12 (48%) of the patients. Other complications included a tracheocutaneous fistula, prolapse of soft tissue into the tracheal lumen via the cricoid incision, a subglottic granuloma, and 2 cases of prolonged lower extremity paresis following reversal of vecuronium. The results of this retrospective study indicate that the ACS is a valuable first‐line procedure for the management of SGS in a variety of pediatric patients.</description><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Cricoid Cartilage - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glottis</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Infant</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Laryngostenosis - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>New Jersey</subject><subject>Postoperative Complications</subject><subject>Pulmonary Atelectasis - etiology</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1DAUhS1EVYbCT0DyAsEqrR2_2Y3a0qKOQOLNynIch3HJxMH2qJ1_j0OmwxZvLJ_73XPtYwAgRqe4lvIMlcUYERVWqkaqnKpJko_AAjOCK6oUewwWCNWkkqz-_gQ8TekWISwIQ8fgGDMsCWcLYJdDdtGHCG30NvgWprH3GXZFSdvmZx9y9ham7IaQfHoDL-_HwrvBOmgyzGsH7dr3bXTD6wTXIY0-mx6GDg7uDt66mNzuGTjqTJ_c8_1-Ar68vfx8fl2tPly9O1-uKkullJVgjCtsTKOMbQWlDFvc4Bpb3tCmaYi1onYdF6TjhlKMDFeM2Lp0uK6VRT8Br2bfMYbfW5ey3vhkXd-bwYVt0oJgTqmYQDmDNoaUouv0GP3GxJ3GSE_56od89SHfv5IsrS_2M7bNxrX_GudAS_3lvm6SNX0XzWB9OmCUCMQUL9jFjN353u3-e7xeLT_-YKw8flKn21SzjS8fdH-wMfGXLnkIpr-9v9Ir_unrDea1xuQPE6alLQ</recordid><startdate>199209</startdate><enddate>199209</enddate><creator>Palasti, Sandra</creator><creator>Respler, Don S.</creator><creator>Fieldman, Robert J.</creator><creator>Levitt, Joel</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>199209</creationdate><title>Anterior cricoid split for subglottic stenosis: Experience at the children's hospital of new jersey</title><author>Palasti, Sandra ; Respler, Don S. ; Fieldman, Robert J. ; Levitt, Joel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4888-755691aab9acd74451c1b121c6b4bbb3cc72ef673f6a4410a6953c21aaefd8673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Cricoid Cartilage - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glottis</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Infant</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Laryngostenosis - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>New Jersey</topic><topic>Postoperative Complications</topic><topic>Pulmonary Atelectasis - etiology</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palasti, Sandra</creatorcontrib><creatorcontrib>Respler, Don S.</creatorcontrib><creatorcontrib>Fieldman, Robert J.</creatorcontrib><creatorcontrib>Levitt, Joel</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palasti, Sandra</au><au>Respler, Don S.</au><au>Fieldman, Robert J.</au><au>Levitt, Joel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterior cricoid split for subglottic stenosis: Experience at the children's hospital of new jersey</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1992-09</date><risdate>1992</risdate><volume>102</volume><issue>9</issue><spage>997</spage><epage>1000</epage><pages>997-1000</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Twenty‐five children with acquired and congenital subglottic stenosis (SGS) were managed with the anterior cricoid split (ACS) operation at the authors' institution from September 1987 to January 1990. Ages ranged from 2.5 months to 5.5 years. Twenty‐one (84%) of the children were extubated after 5 to 14 days of nasotracheal intubation and have remained stable after an average follow‐up of 10 months. Atelectasis was a common postoperative problem, encountered in 12 (48%) of the patients. Other complications included a tracheocutaneous fistula, prolapse of soft tissue into the tracheal lumen via the cricoid incision, a subglottic granuloma, and 2 cases of prolonged lower extremity paresis following reversal of vecuronium. The results of this retrospective study indicate that the ACS is a valuable first‐line procedure for the management of SGS in a variety of pediatric patients.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>1518365</pmid><doi>10.1288/00005537-199209000-00008</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Laryngoscope, 1992-09, Vol.102 (9), p.997-1000 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Child, Preschool Cricoid Cartilage - surgery Female Follow-Up Studies Glottis Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Infant Intubation, Intratracheal - adverse effects Intubation, Intratracheal - instrumentation Laryngostenosis - surgery Male Medical sciences New Jersey Postoperative Complications Pulmonary Atelectasis - etiology Retrospective Studies Stents Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract |
| title | Anterior cricoid split for subglottic stenosis: Experience at the children's hospital of new jersey |
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