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Symptoms, diagnosis and causes of cricoid split (child)

Symptoms, diagnosis and causes of cricoid split (child)

Symptoms, diagnosis and causes of cricoid split (child)

Symptoms, diagnosis and causes of cricoid split (child)

The cricoid split operation is an operation aimed at widening the airway sufficiently to permit the extubation of babies and small children with developing subglottic stenosis.

The cricoid cartilage is the only complete ring of cartilage in the skeleton of the airway and is also its narrowest point. If the child has required ventilating for some time, the mucous membrane within the cricoid cartilage can become very swollen and inflamed and become squashed between the wall of the tube and the unyielding cricoid cartilage. This can give rise to scarring causing subsequent subglottic stenosis. The cricoid split operation is intended to release this pressure on the mucous membrane to give it a chance to recover without narrowing the airway.

 

Risks & Complications

Surgical emphysema in which air leaks out of the incised cricoid and builds up under the skin because it can not vent to the skin surface. This is usually prevented by adequate drainage.

Fistula - A permanent connection between the airway and the skin surface is a rare complication.

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