Pashley N R
J Otolaryngol. 1984 Jun;13(3):187-90.
Anterior cricoidotomy or "cricoid split" was described in 1980 as an open incisional procedure for failed extubation in neonates. In the past year, we modified the technique to an endoscopic-percutaneous cricoidotomy in 22 patients. We broadened the eligible population to include children with a mature membranous stenosis or a congenital subglottic stenosis. Our overall success rate of 80% (73% in the premature group) demonstrates that a cricoidotomy can be used in children older than the neonatal group and suggests that a cricoidotomy does not need to be an open operative procedure, and should be considered before a tracheotomy in the child with a subglottic injury or narrowing.
环状软骨前切开术或“环状软骨劈开术”于1980年被描述为一种用于新生儿拔管失败的开放性切开手术。在过去一年中，我们将该技术改良为内镜下经皮环状软骨切开术，并应用于22例患者。我们扩大了适用人群，将患有成熟膜性狭窄或先天性声门下狭窄的儿童纳入其中。我们80%的总体成功率（早产组为73%）表明，环状软骨切开术可用于新生儿组以上的儿童，这也提示环状软骨切开术无需作为开放性手术，对于有声门下损伤或狭窄的儿童，在进行气管切开术前应考虑采用该术式。
