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ArticleSurgical case reports2026

Cricotracheal Resection for Subglottic Stenosis following Prior Dissection and Tracheostomy.

Kohei Hashimoto, Koichi Hirano, Yoko Nakazato, Akira Motoyasu, Hiroyuki Seki, Kiyoshi Moriyama, Kazuharu Suda, Keisei Tachibana, Ryota Tanaka, Haruhiko Kondo

Abstract readCase Reports
In one paragraph

Article in Surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Kohei HashimotoDepartment of Thoracic and Thyroid Surgery, Kyorin University, School of Medicine, Tokyo, Japan.
Koichi HiranoDepartment of Thoracic and Thyroid Surgery, Kyorin University, School of Medicine, Tokyo, Japan.
Yoko NakazatoDepartment of Thoracic and Thyroid Surgery, Kyorin University, School of Medicine, Tokyo, Japan.
Akira MotoyasuDepartment of Anesthesiology, Kyorin University, School of Medicine, Tokyo, Japan.
Hiroyuki SekiDepartment of Anesthesiology, Kyorin University, School of Medicine, Tokyo, Japan.
Kiyoshi MoriyamaDepartment of Anesthesiology, Kyorin University, School of Medicine, Tokyo, Japan.
Kazuharu SudaDepartment of Thoracic and Thyroid Surgery, Kyorin University, School of Medicine, Tokyo, Japan.
Keisei TachibanaDepartment of Thoracic and Thyroid Surgery, Kyorin University, School of Medicine, Tokyo, Japan.
Ryota TanakaDepartment of Thoracic and Thyroid Surgery, Kyorin University, School of Medicine, Tokyo, Japan.
Haruhiko KondoDepartment of Thoracic and Thyroid Surgery, Kyorin University, School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCricotracheal resection is a definitive treatment for subglottic tracheal stenosis. This procedure can be challenging in the redo setting. CASE PRESENTATION: A 32-year-old man was referred to our department with post-intubation subglottic tracheal stenosis related to diabetic ketoacidosis 5 years ago. The stenosis was approximately 80% starting 2 cm below the glottis. A tracheal resection was attempted in the same year, but resulted in a tracheostomy due to strong adhesions around the trachea. The patient was followed up while maintaining spontaneous breathing and phonation. However, he desired stoma closure and was scheduled for reoperation. The patient was intubated in the supine position through the existing tracheostomy, and an incision was made along the previous incision. The adhesions around the trachea were meticulously dissected. On the cephalic side, a longitudinal incision was made through the anterior wall of the scarred trachea while preserving the subglottic mucosa. The trachea was transected at the level of the existing tracheostomy, and the caudal end of the trachea was dissected and resected just below the tracheostomy. The mucosa was further dissected from the cricoid cartilage, and the anterior cricoid arch was resected. The stenosed mucosa was then resected. The posterior wall of the mucosa was sutured continuously with 4-0 polydioxanone, and the anterior wall was anastomosed with interrupted 3-0 polydioxanone under intermittent apnea. Ventilation was resumed with a laryngeal mask. A tracheostomy was placed 1.5 cm below the anastomosis. The patient was discharged on POD 19 without complications. The tracheostomy tube was removed 2 months after surgery, and bronchoscopy 3 months after surgery confirmed a wide patent anastomosis. At 8 months, he has normal phonation and swallowing.

conclusionsThis redo cricotracheal resection required meticulous dissection and a carefully planned ventilation strategy.

Indexed as

airway surgerycricotracheal resectiontracheal stenosis

Identifiers

PMID42040499
PMCPMC13106952

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