Cricotracheal resection and thryotracheal anastomosis

Abstract

Cricotracheal resection and thryotracheal anastomosis along with laryngotracheal reconstruction have become the standard of care for symptomatic subglottic stenosis in the pediatric age group with decannulation rates approaching 90%. The procedure is ideal for children with subglottic stenosis several millimeters distal to the true vocal cords and can be extended to include costal interposition grafting if necessary. In this chapter, the authors describe the surgical techniques necessary for successful resection and reanastomosis.