Posterior Cricoid Split and Costal Cartilage Grafting for Bilateral Vocal Fold Paralysis

Contributors: Noemie Rouillard-Bazinet and Julina Ongkasuwan

Bilateral vocal fold paralysis causes airway obstruction and, in some patients, tracheostomy dependence. Posterior cricoid split with costal cartilage grafting can open the posterior glottis and improving the airway.

DOI: http://dx.doi.org/10.17797/hyp0b3mzd5

Editor Recruited By: Michael M. Johns III, MD

Endoscopic Posterior Cricoid Split with Rib Grafting for Posterior Glottic Stenosis

Endoscopic posterior cricoid split with rib grafting can be used in children with Bilateral Vocal Fold Immobility due to bilateral vocal fold paralysis or cricoarytenoid joint fixation with posterior glottic stenosis. It is preferred to open laryngotracheal reconstruction because it does not disrupt the anteior cricoid ring therby preserving the “spring” of the cricoid.

DOI#: http://dx.doi.org/10.17797/5w4hsqmgnq

Endoscopic Posterior Cricoid Split with Rib Grafting for Bilateral Vocal Fold Paralysis

Endoscopic posterior cricoid split with rib grafting can be used in children with bilateral vocal fold immobility due to bilateral vocal fold paralysis or cricoarytenoid joint fixation with posterior glottic stenosis. It is preferred to vocal cordotomy/arytenoidectomy because it is a non-destructive procedure with no impact on voice and swallowing.  It is also preferred to open laryngotracheal reconstruction because it does not disrupt the anterior cricoid ring thereby preserving the “spring” of the cricoid.

DOI: http://dx.doi.org/10.17797/gcnyoduseo

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