Results of cricoid split operation vary. It would be expected to permit the extubation of at least 50 % of the children who have the operation and thereby save the need for a tracheostomy.

Alternative Treatment

It is frustrating to be unable to remove a ventilating tube from a child who no longer needs it. Sometimes a further period of waiting and extubation a few days later may be successful particularly if steroids are given to reduce any swelling of the subglottic mucous membrane. The other alternative treatment is the performance of a tracheostomy to bypass the blockage in the upper airway. This is still necessary in some cases and it is to avoid the need for tracheostomy that the cricoid split operation was first developed.

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