gms | German Medical Science

76th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

04.05. - 08.05.2005, Erfurt

Fifteen years experience with the cricotracheal segment resection

Meeting Abstract

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  • corresponding author Jenő Czigner - ENT and Head and Neck Surg. Dept. of Univ. of Szeged, Ungarn
  • author László Rovó - ENT and Head and Neck Surg. Dept. of Univ. of Szeged, Ungarn

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Erfurt, 04.-08.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05hno290

The electronic version of this article is the complete one and can be found online at:

Published: September 22, 2005

© 2005 Czigner et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



The traditional approach to surgical reconstruction of the laryngotracheal stenosis is laryngofissure for the laryngeal component and staged plastic reconstruction of the cricotracheal stenosis. Reported results are variable and unpredictable, and permanent decanulation is impossible in significant number of patients.

Authors report experience with 33 patients with combined subglottic and tracheal stenosis who were managed by a two stages operation procedure: a preoperative endoscopic laser scar vaporization to prevent the patients from the urgent tracheotomy, and later an elective cricotracheal segment resection with a primary end to end anastomosis as the definitive surgical treatment.

Type of anastomosis was tracheo-thyreopexy in six, tracheo-cricopexy in sixteen, tracheo-tracheopexy in eleven cases. The average length of the resected segments was 3,5 cm (range: 2-7,5 cm). Adequate airway with excellent quality of life was achieved in 30 patients during the minimum one year follow up period. One 40% and two 50 % restenosis have been found in the remaining 3 cases. There was a sever MRSA wound infection among these latter patients, but there were no other major complication or compromise in swallowing and voicing.

The approach described for these cricotracheal stenoses provides better results than those reported traditional staged and plastic techniques of reconstructions