Simulation of Pediatric Endoscopic Cricoid Reduction and Expansion

Austin J. Scholp; Matthew R. Hoffman; Alessandro De Alarcon; Mark E. Gerber; Jack J. Jiang; James Scott McMurray

doi:10.1177/2473974X20946268

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Simulation of Pediatric Endoscopic Cricoid Reduction and Expansion

Journal article

Open access

Peer reviewed

Simulation of Pediatric Endoscopic Cricoid Reduction and Expansion

Austin J. Scholp, Matthew R. Hoffman, Alessandro De Alarcon, Mark E. Gerber, Jack J. Jiang and James Scott McMurray

OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation, Vol.4(3), pp.2473974-n/a

07/01/2020

DOI: 10.1177/2473974X20946268

PMCID: PMC7416139

PMID: 32844141

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https://doi.org/10.1177/2473974X20946268View

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Abstract

Endoscopic cricoid expansion and reduction are newer approaches to the management of pediatric bilateral vocal fold immobility and postlaryngotracheal reconstruction glottic insufficiency, respectively. These procedures offer a less invasive, endoscopic alternative to procedures that typically required open management with a more prolonged recovery. These technically demanding procedures are currently performed only in select centers, and there is no currently described training model for practicing them. We present a modification to a laryngeal dissection station that allows for simulation of endoscopic cricoid reduction and expansion with excised larynges. The model allows trainees to practice endoscopic posterior cricoid exposure, incision of the cricoid cartilage, placement of a simulated costal cartilage graft for expansion, and endoscopic suturing for reduction. Development of simulators for procedures that are infrequently performed have the potential to help trainees reach surgical competency faster and more safely.

Life Sciences & Biomedicine

Otorhinolaryngology

Science & Technology

Details

Title: Subtitle: Simulation of Pediatric Endoscopic Cricoid Reduction and Expansion
Creators: Austin J. Scholp - University of Wisconsin–Madison
Matthew R. Hoffman - University of Wisconsin School of Medicine and Public Health
Alessandro De Alarcon - University of Cincinnati
Mark E. Gerber - Phoenix Children's Hospital
Jack J. Jiang - University of Wisconsin–Madison
James Scott McMurray - University of Wisconsin School of Medicine and Public Health
Resource Type: Journal article
Publication Details: OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation, Vol.4(3), pp.2473974-n/a
DOI: 10.1177/2473974X20946268
PMID: 32844141
PMCID: PMC7416139
NLM abbreviation: OTO Open
ISSN: 2473-974X
eISSN: 2473-974X
Publisher: Sage
Number of pages: 4
Language: English
Date published: 07/01/2020
Academic Unit: Otolaryngology
Record Identifier: 9984366375902771

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