Pediatric endoscopic airway management with posterior cricoid rib grafting

Matthew J Provenzano; Stephanie L Hulstein; Donald H Solomon; Nancy M Bauman; Jose M Manaligod; Deborah S F Kacmarynski; Richard J H Smith

doi:10.1002/lary.21579

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Pediatric endoscopic airway management with posterior cricoid rib grafting

Journal article

Peer reviewed

Pediatric endoscopic airway management with posterior cricoid rib grafting

Matthew J Provenzano, Stephanie L Hulstein, Donald H Solomon, Nancy M Bauman, Jose M Manaligod, Deborah S F Kacmarynski and Richard J H Smith

The Laryngoscope, Vol.121(5), pp.1062-1066

05/2011

DOI: 10.1002/lary.21579

PMID: 21520126

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Abstract

To confirm and extend reported successful treatment of posterior glottic stenosis in pediatric patients using endoscopic laser division of the posterior cricoid plate with augmentation using costal cartilage. A retrospective chart review and case series. Medical records were examined to determine the surgical indications, outcomes, and postoperative complications of this procedure. Twelve patients underwent the procedure, six females and six males, with an average age of 7 years (range, 2-26 years). There were 8/12 (67%) patients successfully decannulated after being tracheostomy dependent. There were no consistent anatomic abnormalities or surgical findings predictive of failure to decannulate. Average hospital stay was 3.6 days (range, 2-9 days). There were no deaths or other major complications; one patient had extrusion. Endoscopic posterior cricoid grafting is a valuable surgical option for patients with posterior glottic stenosis. The procedure is associated with low morbidity and permits decannulation in the majority of patients.

Humans

Laser Therapy

Child, Preschool

Male

Equipment Design

Ribs - transplantation

Adolescent

Cricoid Cartilage - surgery

Adult

Endoscopy - instrumentation

Female

Retrospective Studies

Child

Airway Management - methods

Laryngostenosis - surgery

Details

Title: Subtitle: Pediatric endoscopic airway management with posterior cricoid rib grafting
Creators: Matthew J Provenzano - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Hospital and Clinic, Iowa City, Iowa 52242, USA
Stephanie L Hulstein
Donald H Solomon
Nancy M Bauman
Jose M Manaligod
Deborah S F Kacmarynski
Richard J H Smith
Resource Type: Journal article
Publication Details: The Laryngoscope, Vol.121(5), pp.1062-1066
DOI: 10.1002/lary.21579
PMID: 21520126
NLM abbreviation: Laryngoscope
ISSN: 0023-852X
eISSN: 1531-4995
Publisher: United States
Language: English
Date published: 05/2011
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Craniofacial Anomalies Research Center; Otolaryngology; Internal Medicine
Record Identifier: 9984007176802771

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