Anderson G J, Tom L W, Wetmore R F, Handler S D, Potsic W P
Division of Otolaryngology and Human Communication, Children's Hospital of Philadelphia, PA 19104.
Int J Pediatr Otorhinolaryngol. 1988 Oct;16(1):31-8. doi: 10.1016/0165-5876(88)90097-3.
The anterior cricoid split procedure (ACS) is an alternative to tracheotomy in selected infants with subglottic stenosis. From February 1983 to October 1987, 26 children underwent ACS at the Children's Hospital of Philadelphia. All children had subglottic stenosis. Six children had previously undergone tracheotomy. A successful outcome, allowing extubation or decannulation, correlated only with decreased pre-operative intubation time and was achieved in 73% of these patients. A failed ACS had little adverse affect on the subsequent management of these children.
环状软骨前部劈开术（ACS）是某些声门下狭窄婴儿气管切开术的替代方法。1983年2月至1987年10月，费城儿童医院有26名儿童接受了ACS手术。所有儿童均有声门下狭窄。6名儿童此前接受过气管切开术。手术成功（即能够拔管或脱管）仅与术前插管时间缩短相关，这些患者中有73%取得了成功。ACS手术失败对这些儿童随后的治疗影响不大。
