%0 Case Reports
%T [A case report of primary extubation by partial cricotracheal resection for severe subglottic stenosis].
%A Zhang Q
%A Liu Y
%A Meng J
%A Cai M
%A Huang D
%J Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
%V 37
%N 11
%D 2023 Nov
%M 37905489
暂无%R 10.13201/j.issn.2096-7993.2023.11.013
%X  This patient suffered from severe subglottic stenosis(grade Ⅳb). During partial cricotracheal resection, we cut through the cricothyroid membrane and the cricoid arch along the line from the lower edge of the thyroid cartilage to 5 mm of the inferior thyroid cartilage corner anteromedially. This can protect the cricothyroid joint, effectively protect the recurrent laryngeal nerve, and also support the airway. Strictly adhere to airway separation, avoid excessive separation of scars, and combine with reasonable postoperative management to achieve a safe extubation.<BR>摘要: 本例患者为严重声门下狭窄（Ⅳb级），在实施环气管部分切除术过程中沿着甲状软骨正中下缘及甲状软骨下角下方5 mm之间连线横断环甲膜及环状软骨弓，保留双侧环甲关节，有效保护喉返神经的同时起到了气道的支撑作用，配合合理的术后管理，实现了一期安全拔管。.