Cricotracheal Resection in a Patient with Severe Subglottic Stenosis - Advantages of a Temporary Non-Cannulated Tracheostomy

Year 2017, Volume: 34 Issue: 2, 165 - 167, 01.03.2017

Todor Miroslavov Popov Tzvetomir Marinov Julian Rangachev Dimitar Konov Maya Belitova

Abstract

Background: Stenosis in the area of the cricotracheal
segment is still a challenging problem to be dealt with.
Post-intubational cases mark an increase in recent years
due to the advances in intensive care, thoracic surgery
and neurosurgery departments.
Case Report: This paper describes a case report of
a patient with severe subglottic stenosis (grade III
according to the Cotton-Myer scale), introduces a
new option in cricotracheal resections - postoperative
temporary non-cannulated tracheostomy and describes
its advantages.
Conclusion: This variation of classical operative
techniques provides additional fixation of the trachea,
thus relieving any transitory tension on the anastomosis;
acts as a valve and decreases the air-pressure in the
upper airways during coughing and sneezing in the postoperative
period; and is an easy ac

Keywords

Cricotracheal resection, stenosis, trachea, larynx, tracheostomy

References

• 1. Herrington HC, Weber SM, Andersen PE. Modern management of laryngotracheal stenosis. Laryngoscope 2006;116:1553-7.
• 2. Grillo HC. Development of tracheal surgery: a historical review. Part 1: techniques of tracheal surgery. Ann Thorac Surg 2003;75:610-9.
• 3. Bauer TL, Steiner KV. Virtual bronchoscopy: clinical applications and limitations. Surg Oncol Clin N Am 2007;16:323-8.
• 4. Taha MS, Mostafa BE, Fahmy M, Ghaffar MK, Ghany EA. Spiral CT virtual bronchoscopy with multiplanar reformatting in the evaluation of postintubation tracheal stenosis: comparison between endoscopic, radiological and surgical findings. Eur Arch Otorhinolaryngol 2009;266:863-6.
• 5. Nakache G, Primov-Fever A, Alon EE, Wolf M. Predicting outcome in tracheal and cricotracheal segmental resection. Eur Arch Otorhinolaryngol 2015;272:1471-5.
• 6. Rubikas R, Matukaityte I, Jelisiejevas JJ, Rackauskas M. Surgical treatment of non-malignant laryngotracheal stenosis. Eur Arch Otorhinolaryngol 2014;271:2481-7.
• 7. Deckard N, Yeh J, Soares DJ, Criddle M, Stachler R, Coticchia J. Utility of two-stage laryngotracheal reconstruction in the management of subglottic stenosis in adults. Ann Otol Rhinol Laryngol 2013;122:322-9.