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Ellis Tavin, MD; Lewis Singer, MD; Maha Bassila, MD

Arch Otolaryngol Head Neck Surg. 1994;120(8):823-826.

Abstract
Objective
Describe complications and postoperative management problems associated with the anterior cricoid split.

Design
Retrospective case series.

Setting
Urban referral hospital.

Patients
Nine consecutive patients with acquired subglottic stenosis believed amenable to the anterior cricoid split.

Intervention
The anterior cricoid split was performed on 10 occasions between June 1989 and June 1992.

Main Outcome Measure
Extubation or decannulation.

Results
Six of nine patients underwent decannulation, with success. Management problems included those related to surgery or postoperative endotracheal stenting, preexisting medical conditions, and postoperative sedation requirement.

Conclusions
The number of postoperative complications and management problems was highest in those patients with both bronchopulmonary dysplasia and preexisting tracheotomy.

(Arch Otolaryngol Head Neck Surg. 1994;120:823-826)

Author Affiliations
From the Departments of Otolaryngology (Drs Tavin and Bassila) and Pediatrics (Dr Singer), Montefiore Medical Center, Bronx, NY.

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