ISSN : 2146-3123
E-ISSN : 2146-3131

Cricotracheal Resection in a Patient with Severe Subglottic Stenosis - Advantages of a Temporary Non-Cannulated Tracheostomy
Todor Miroslavov Popov 1, Tzvetomir Marinov 2, Julian Rangachev 1, Dimitar Konov 1, Maya Belitova 2
1Department of Otolaryngology, Medical University of Sofia, Sofia, Bulgaria
2Department of Anesthesiology and Intensive Care, Medical University of Sofia, Sofia, Bulgaria
DOI : 10.4274/balkanmedj.2016.0108
Pages : 165-167

Background: Stenosis in the area of the cricotracheal segment is still a challenging problem to be dealt with. Post-intubational cases mark an increase in recent years due to the advances in intensive care, thoracic surgery and neurosurgery departments.
Case Report: This paper describes a case report of a patient with severe subglottic stenosis (grade III according to the Cotton-Myer scale), introduces a new option in cricotracheal resections - postoperative temporary non-cannulated tracheostomy and describes its advantages.
Conclusion: This variation of classical operative techniques provides additional fixation of the trachea, thus relieving any transitory tension on the anastomosis; acts as a valve and decreases the air-pressure in the upper airways during coughing and sneezing in the post-operative period; and is an easy access point for video tracheoscopy of the anastomosis.

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Keywords : Cricotracheal resection, stenosis, trachea, larynx, tracheostomy

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