Crysdale W S
J Otolaryngol. 1976 Dec;5(6):479-86.
The child with subglottic stenosis and a tracheotomy is a management problem. To date, a consistent method for successful and expeditious correction of the primary lesion to permit decannulation has eluded clinicians. The child is tracheotomized and thus frequently hospitalized for a lengthy period. Personal development and family relationships are adversely affected and the mortality rate during this period of cannulation is significant. During the past eighteen months in an attempt to achieve earlier decannulation, three children with subglottic stenosis have undergone a surgical procedure in which division of the anterior and posterior aspects of the cricoid ring are the key surgical maneuvers.
患有声门下狭窄且行气管切开术的儿童是一个治疗难题。迄今为止，临床医生尚未找到一种能成功且迅速矫正原发性病变以实现拔管的一致方法。该患儿接受了气管切开术，因此经常需要长时间住院。其个人发展和家庭关系受到不利影响，在此插管期间的死亡率也很高。在过去的18个月里，为了尝试更早地实现拔管，三名声门下狭窄患儿接受了一种外科手术，其中环状软骨环前后部分的分离是关键的手术操作。
