内镜下环状软骨后裂开和肋肋骨移植(EPCSCG)是扩大声门和声门下气道的重要工具,这两种情况在新生儿和早期婴儿的小气道中都会受到不成比例的影响。我们介绍了一系列8例1岁以下成功接受EPCSCG的患者,7/8患者完全避免气管造口术。在这些病人中,EPCSCG的适应症是孤立的双侧声带固定(6/8),双侧声带固定伴声门下狭窄(1/8),和孤立的声门下狭窄(1/8)。EPCSCG可以安全地应用于选择小于1岁的患者。
Endoscopic posterior cricoid split and costal rib graft placement (EPCSCG) is an important tool in enlarging the glottic and subglottic airway, both of which can be disproportionally affected in the small airways of neonates and early infants. We present a series of 8 patients under the age of one who successfully underwent EPCSCG, with 7/8 patients avoiding tracheostomy entirely. Of these patients, the indication for EPCSCG was isolated bilateral vocal fold immobility (6/8), bilateral vocal fold immobility with subglottic stenosis (1/8), and isolated subglottic stenosis (1/8). EPCSCG can be safely applied to select patients less than one year of age.