Ochi J W, Seid A B, Pransky S M
Children's Hospital and Health Center, San Diego, CA.
Int J Pediatr Otorhinolaryngol. 1987 Dec;14(2-3):229-34. doi: 10.1016/0165-5876(87)90035-8.
The cricoid split operation is a well established treatment for subglottic stenosis; the success rate for this procedure is approximately 77%. The management of patients who fail this operation has traditionally involved tracheostomy followed by delayed laryngotracheoplasty. We have treated 22 patients using the cricoid split--6 required subsequent tracheostomy. Two-thirds of the patients with a tracheostomy have been unable to be decannulated, even after laryngotracheoplasty. In contrast, 3 patients had repeat cricoid split operations instead of tracheostomy. All 3 of these children have had no further problems with their airway. The authors propose that in patients who fail the cricoid split operation one consider repeating the procedure instead of performing a tracheostomy.
环状软骨裂开术是治疗声门下狭窄的一种成熟疗法；该手术的成功率约为77%。传统上，对于该手术失败的患者，治疗方法是先行气管造口术，随后进行延迟性喉气管成形术。我们采用环状软骨裂开术治疗了22例患者，其中6例需要后续进行气管造口术。三分之二接受气管造口术的患者即使在喉气管成形术后仍无法拔管。相比之下，有3例患者接受了再次环状软骨裂开术而非气管造口术。这3名儿童的气道均未再出现问题。作者建议，对于环状软骨裂开术失败的患者，应考虑再次进行该手术而非施行气管造口术。
