Objective: Partial cricotracheal resection has become a more popular procedure in the pediatric population as a treatment for severe subglottic stenosis. We describe a new technique for the posterior cricoid anastomosis.
Study design and setting: This is a case series of 4 pediatric patients with a Myer-Cotton grade III or IV subglottic stensosis.
Setting: Tertiary care hospital with a pediatric intensive care unit.
Results: All 4 patients were decannulated and there were no observed complications to include posterior mucosal dehiscence and/or recurrent laryngeal nerve injury.
Conclusions: Placing sutures through the cricoid cartilage is technically less difficult than previously described techniques for treating subglottic stenosis near the undersurface of the true vocal folds and affords a more stable posterior mucosal suture line.
Significance: This technique provides a surgical means to treat high subglottic stenosis that closely approximates the true vocal folds by enabling a stable posterior mucosa to mucosa apposition.
Ebm rating: Grade C-4.