Cricoid Augmentation by Costal Cartilage Graft in the Treatment of Complex Crico-Tracheal Stenosis in Adults.

Autor: Puri HV; Institute of Chest Surgery, Medanta - The Medicity, Room No. 12, 4Th Floor, OPD Block, Sector - 38, Gurugram, 122001 India., Bansal M; Institute of Heart Sciences, Medanta - The Medicity, Gurugram, India., Asaf BB; Institute of Chest Surgery, Medanta - The Medicity, Room No. 12, 4Th Floor, OPD Block, Sector - 38, Gurugram, 122001 India., Pulle MV; Institute of Chest Surgery, Medanta - The Medicity, Room No. 12, 4Th Floor, OPD Block, Sector - 38, Gurugram, 122001 India., Bishnoi S; Institute of Chest Surgery, Medanta - The Medicity, Room No. 12, 4Th Floor, OPD Block, Sector - 38, Gurugram, 122001 India., Kumar A; Institute of Chest Surgery, Medanta - The Medicity, Room No. 12, 4Th Floor, OPD Block, Sector - 38, Gurugram, 122001 India.
Jazyk: angličtina
Zdroj: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [Indian J Otolaryngol Head Neck Surg] 2023 Mar; Vol. 75 (1), pp. 200-207. Date of Electronic Publication: 2023 Jan 17.
DOI: 10.1007/s12070-022-03437-y
Abstrakt: We present herein our results of cricoid augmentation with costal cartilage in complex crico-tracheal stenosis in adults. This is a retrospective analysis of a prospectively maintained data of patients who underwent surgery for crico-tracheal stenosis at a tertiary care centre from March 2012 to September 2019. Finding of subglottic stenosis with cricoid narrowing was taken as an indication for cricoid split and costal cartilage graft augmentation. Their demographic and clinical data, pre-operative work up, intra-operative details and post-operative course was recorded. Ten patients underwent cricoid split with costal cartilage graft augmentation and crico-tracheal anastomosis between March 2012 and November 2019. The mean age was 29 years (range, 22-58 years). There were 6 males (60%) and 4 females (40%). All 10 patients underwent circumferential resection of stenosed tracheal segment, cricoid split, interposition of costal cartilage graft and an anastomosis between augmented cricoid and trachea. Eight patients (80%) anterior cricoid split and 2 (20%) had anterior as well as posterior split. Average resected length of trachea was 2.39 cms. Cricoid split with costal cartilage augmentation is a feasible option to expand cricoid lumen in crico-tracheal stenosis. None except one of our patients required any further intervention in mean follow up of 42 months and all are free from primary symptoms. The functional results of the surgery were also excellent in 90% of the patients.
Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest.
(© Association of Otolaryngologists of India 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Databáze: MEDLINE
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