Partial cricotracheal resection and anastomosis
by Philippe Monnier T, Philippe Vicky S, Philippe Bachi T

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

In this video, the technique of partial cricotracheal resection and anastomosis has been demonstrated. This procedure is usually performed for a severe grade of subglottic stenosis and may also be performed for failed laryngotracheal reconstructive surgical procedures. The airway is ‘entered’ surgically through the stenotic area, and successively excised proximally and distally till a ‘normal’ diameter airway is reached. The length of resection is then inspected, and the two ends are mobilized towards each other. One may need to perform a laryngeal release procedure superiorly, for which the authors prefer an infrahyoid drop. Inferiorly, one may need to mobilize the tracheal stump. After removing the cricoid arch, the cricoid lamina is polished with a diamond burr to enlarge the lumen further, following which a thyrotracheal anastomosis is performed over the remnant lamina of the cricoid cartilage. This anastomosis is then reinforced with the thyroid gland anteriorly, to allow for vascularization.

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