Posterior cricoid-graft mismatch in laryngotracheal reconstruction

被引:1
作者
Wu, Derek [1 ]
Virbalas, Jordan [2 ]
Lee, Andrew [3 ]
Bent, John [3 ]
机构
[1] SUNY Downstate Med Ctr, Dept Otolaryngol Head & Neck Surg, 450 Clarkson Ave,Box 126, Brooklyn, NY 11203 USA
[2] Univ Calif San Francisco, Dept Otolaryngol Head & Neck, 2233 Post St,Rm 357, San Francisco, CA 94115 USA
[3] Albert Einstein Coll Med, Univ Hosp, Montefiore Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, 3400 Bainbridge Ave,Greenberg Med Arts Pavil, Bronx, NY 10467 USA
关键词
Laryngotracheal recontruction; Posterior cricoid graft; Graft-cricoid mismatch; Sutureless posterior cricoid graft; SUBGLOTTIC STENOSIS; SINGLE-STAGE; CARTILAGE GRAFT; CHILDREN; MANAGEMENT; MODEL;
D O I
10.1016/j.ijporl.2018.05.025
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Introduction/Objective: In laryngotracheal reconstruction (LTR) with sutureless posterior cricoid grafting (PCG), the inset graft's thickness may not precisely approximate the anterior-posterior depth of the divided posterior cricoid plate. This case series highlights this phenomenon and describes the clinical profiles and airway characteristics of children with similar subglottic stenosis grades undergoing LTR with PCG with varying degrees of graft-cricoid mismatch. Methods: This is a case series with retrospective chart review of children who underwent LTR with PCG by a single surgeon at a tertiary care urban children's hospital from 2008 to 2014. Results: Twenty-one patients with twenty-two operations were identified. Varying degrees of graft-cricoid mismatch were present. Of the 22 operations, 15 were classified as grade I (flush), 5 grade II (< 3 mm), and 2 grade III (> 3 mm). Median preoperative grade of stenosis was III in all groups. Mean one month granulation grade was 1.84, compared to 1.92 in grade I, 1.6 in grade II mismatch, 2 in grade III mismatch, and 1.7 in any mismatch (p = 0.65). Mean follow up was 24 months. Conclusion Graft-cricoid mismatch may occur at variable degrees during laryngotracheal reconstruction utilizing sutureless posterior cricoid grafting. Our preliminary data suggest several millimeters of graft-cricoid mismatch can be tolerated without significantly affecting postoperative granulation formation or adding to postoperative morbidity.
引用
收藏
页码:93 / 96
页数:4
相关论文
共 50 条
  • [41] INNOVATIONS IN PEDIATRIC LARYNGOTRACHEAL RECONSTRUCTION
    COTTON, RT
    MYER, CM
    OCONNOR, DM
    [J]. JOURNAL OF PEDIATRIC SURGERY, 1992, 27 (02) : 196 - 200
  • [42] LARYNGOTRACHEAL RECONSTRUCTION FOR SUBGLOTTIC STENOSIS
    APRIL, MM
    MARSH, BR
    [J]. ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1993, 102 (03) : 176 - 181
  • [43] The surgical treatment of acquired subglottic stenosis in children with double-stage laryngotracheal reconstruction
    Carta, Filippo
    Piras, Nicoletta
    Mariani, Cinzia
    Marrosu, Valeria
    Tatti, Melania
    Chuchueva, Natalia
    Bekpanov, Almat
    Medeulova, Aigul R.
    Shetty, Sanjana Ashik
    Puxeddu, Roberto
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2022, 158
  • [44] Outcomes Following Single-Stage Laryngotracheal Reconstruction Using a "No Look" Extubation Philosophy
    Scott, Andrew R.
    Danis, David O.
    Clinch, Andrea B.
    Greenlund, Lindsey
    Roby, Brianne B.
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2025,
  • [45] Novel Method for Laryngotracheal Reconstruction: Combining Single- and Double-Stage Techniques
    Setlur, Jennifer
    Maturo, Stephen
    Hartnick, Christopher J.
    [J]. ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 2013, 122 (07) : 445 - 449
  • [46] Open paediatric laryngotracheal reconstruction: a five-year experience at a tertiary referral centre
    ElSobki, A.
    El-Kholy, N.
    [J]. JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2023, 137 (02) : 192 - 199
  • [47] Laryngotracheal reconstruction and cricotracheal resection in children: Recent experience at Great Ormond Street Hospital
    Bajaj, Y.
    Cochrane, L. A.
    Jephson, C. G.
    Wyatt, M. E.
    Bailey, C. M.
    Albert, D. M.
    Hartley, B. E. J.
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2012, 76 (04) : 507 - 511
  • [48] Laryngotracheal reconstruction and the hidden airway lesion
    Rutter, MJ
    Link, DT
    Liu, JH
    Cotton, RT
    [J]. LARYNGOSCOPE, 2000, 110 (11) : 1871 - 1874
  • [49] Single-Staged Laryngotracheal Reconstruction for Idiopathic Tracheal Stenosis
    Morcillo, Alfonso
    Wins, Richard
    Gomez-Caro, Abel
    Paradela, Marina
    Molins, Laureano
    Tarrazona, Vicente
    [J]. ANNALS OF THORACIC SURGERY, 2013, 95 (02) : 433 - 439
  • [50] Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement
    Balakrishnan, Karthik
    Sidell, Douglas R.
    Bauman, Nancy M.
    Bellia-Munzon, Gaston F.
    Boesch, R. Paul
    Bromwich, Matthew
    Cofer, Shelagh A.
    Daines, Cori
    de Alarcon, Alessandro
    Garabedian, Noeel
    Hart, Catherine K.
    Ida, Jonathan B.
    Leboulanger, Nicolas
    Manning, Peter B.
    Mehta, Deepak K.
    Monnier, Philippe
    Myer, Charles M., III
    Prager, Jeremy D.
    Preciado, Diego
    Propst, Evan J.
    Rahbar, Reza
    Russell, John
    Rutter, Michael J.
    Thierry, Briac
    Thompson, Dana M.
    Torre, Michele
    Varela, Patricio
    Vijayasekaran, Shyan
    White, David R.
    Wineland, Andre M.
    Wood, Robert E.
    Wootten, Christopher T.
    Zur, Karen
    Cotton, Robin T.
    [J]. LARYNGOSCOPE, 2019, 129 (01) : 244 - 255