Cricotracheal Resection
A surgeon facing the problem of a child with subglottic stenosis currently has a wide range of surgical options. Cricotracheal resection is the preferred option for grade IV and severe…
Robotic Surgical Technique for Pediatric Laryngotracheal Reconstruction
The attributes of robotic technology—steady, precise movements and untiring action in difficult positions and confined spaces—are well suited to surgical procedures that benefit from these qualities. Ironically, the introduction of…
Sedation and Analgesia in the Pediatric Intensive Care Unit Following Laryngotracheal Reconstruction
Deep levels of sedation and analgesia are needed in the majority of children who require prolonged tracheal intubation after laryngotracheal reconstruction (LTR). Drug doses may be determined most appropriately using…
Pediatric Tracheal Stenosis
Tracheal stenosis is a rare, potentially life-threatening condition described as innate narrowing of the tracheal lumen. The causes of tracheal stenosis vary widely. The most common forms result from prolonged…
Revision Pediatric Laryngotracheal Reconstruction
Surgeons who make airway reconstruction a major part of their practice inevitably are faced with children in whom initial surgical management fails. Searching for the possible causes of failure and…
Minimally Invasive Techniques in Laryngotracheal Reconstruction
The treatment of laryngotracheal stenosis has evolved over the past several decades. Advances in technology, equipment and medication have increased our ability to treat some airway stenosis in a minimally…
Single-Stage and Multistage Pediatric Laryngotracheal Reconstruction
Acquired pediatric laryngotracheal stenosis almost always results from prolonged intubation for prematurity. An understanding of the process by which this occurs helps in prevention and treatment. Before deciding to perform…
Laryngeal Cleft
Laryngeal clefts are rare congenital anomalies, first described in 1792 by Richter, that allow communication between the tracheal and esophageal axis. The incidence is 1 in 10,000 to 20,000 births,…
Subglottic Hemangioma
Subglottic hemangioma is a rare condition that can be potentially life threatening because of airway obstruction. It is common for subglottic hemangioma to be misdiagnosed as croup initially. Infants with…
Bilateral Vocal Cord Paralysis in Children
Bilateral vocal cord paralysis in children with its many causes presents a challenging problem to the pediatric otolaryngologist. Traditionally, management of bilateral vocal cord paralysis includes securing the airway with…
