Partial Cricotracheal Resection (PCTR), a RewardingOutcome for Paediatric Subglottic Stenosis : An Early Experience
- Author:
Goh Bee See
;
Roopesh Sankaran
;
Marina Mat Baki, Abdullah Sani Mohamed
- Publication Type:Journal Article
- Keywords:
partial cricotracheal resection;
subglottic stenosis;
prolonged intubation;
paediatric
- From:
The Medical Journal of Malaysia
2014;69(1):13-15
- CountryMalaysia
- Language:English
-
Abstract:
This is a retrospective study examining the outcome of
paediatric patients with subglottic stenosis who underwent
partial cricotracheal resection (PCTR) as a primary open
procedure from 2004 to 2012. There were 5 patients
identified aged from 3 to 18 years old. All the subglottic
stenosis were acquired type. All of them were secondary to
prolonged intubation. Three patients were classified as
Myer-Cotton grade III and the other two were Myer-Cotton
grade IV. Two of the patients had concomitant bilateral vocal
cord immobility. All patients underwent two staged PCTR .
All patients underwent two staged PCTR, and one patient
underwent posterior cordectomy apart from partial CTR at
different setting. All patients were successfully
decannulated at various durations postoperatively.
Although this is an early experience in our institution, PCTR
has shown to be effective and safe procedure in patients
with subglottic stenosis especially those with Myer-Cotton
grade III and IV.
- Full text:P020150724563031474646.pdf
