{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:16:02Z","timestamp":1777421762937,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2005,1]]},"abstract":"<jats:p>Severe subglottic stenosis in children is best managed by laryngotracheal reconstruction or cricotracheal resection (CTR). We describe clinical outcomes with CTR and end-to-end anastomosis in pediatric patients with severe subglottic stenosis in a tertiary-care pediatric teaching hospital in Mexico City. We prospectively followed up all consecutive patients younger than 18 years of age with a Myer-Cotton grade 3 or 4 subglottic stenosis who underwent CTR between May 1, 2000, and March 31, 2003. The frequency of each clinical outcome was calculated. Twenty-two patients (16 boys [72.7%] and 6 girls [27.3%]) were included. The mean age at operation was 4.6 years (range, 11 months to 16 years). Eighteen patients (81.8%) required primary CTR, and 4 (18.2%) required extended CTR. Seventeen (77.3%) had grade 3 stenosis, and 5 (22.7%) had grade 4 stenosis. Six (27.3%) had associated clinical conditions, and 3 (13.6%) had associated vocal cord mobility defects. All were tracheostomy-dependent at presentation, and none had undergone previous airway surgery. Ten (45.5%) underwent one-stage surgery, and 12 (54.5%) had a concomitant temporary tracheotomy. No intraoperative complications occurred. Seventeen patients (77.3%) developed postoperative granulation tissue requiring endoscopic resection. The mean follow-up was 1.2 years (range, 2 months to 2.8 years). No deaths occurred. Fifteen children (88.2%) with grade 3 stenosis and 5 (100%) with grade 4 stenosis were decannulated, for an overall decannulation rate of 90.9%. Partial cricoid resection with end-to-end anastomosis has been a feasible procedure with reproducible successful results among our patients. We conclude that CTR performed as a primary procedure is an effective treatment for the management of severe subglottic stenosis in children.<\/jats:p>","DOI":"10.1177\/000348940511400102","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:40:52Z","timestamp":1412347252000},"page":"2-6","source":"Crossref","is-referenced-by-count":32,"title":["Primary Cricotracheal Resection with Thyrotracheal Anastomosis for the Treatment of Severe Subglottic Stenosis in Children and Adolescents"],"prefix":"10.1177","volume":"114","author":[{"given":"Hiram","family":"Alvarez-Neri","sequence":"first","affiliation":[{"name":"Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerardo","family":"Blanco-Rodriguez","sequence":"additional","affiliation":[{"name":"Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Penchyna-Grub","sequence":"additional","affiliation":[{"name":"Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan D.","family":"Porras-Hernandez","sequence":"additional","affiliation":[{"name":"Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Rutter","sequence":"additional","affiliation":[{"name":"Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,1,1]]},"reference":[{"key":"bibr1-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348949810700708"},{"key":"bibr2-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348948709600130"},{"key":"bibr3-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100052920"},{"key":"bibr4-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348947208100408"},{"key":"bibr5-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198911000-00002"},{"key":"bibr6-000348940511400102","volume":"101","author":"Cotton RT","year":"1991","journal-title":"Laryngoscope"},{"key":"bibr7-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199508000-00009"},{"key":"bibr8-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1991.01870140059006"},{"key":"bibr9-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1993.01880130084012"},{"key":"bibr10-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310200402"},{"key":"bibr11-000348940511400102","first-page":"143","volume":"116","author":"Ndiaye I","year":"1999","journal-title":"Ann Otolaryngol Chir Cervicofac"},{"key":"bibr12-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197406000-00008"},{"key":"bibr13-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39664-3"},{"key":"bibr14-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199311000-00011"},{"key":"bibr15-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710601102"},{"key":"bibr16-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348949810701111"},{"key":"bibr17-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.3.289"},{"key":"bibr18-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300410"},{"key":"bibr19-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200011000-00021"},{"key":"bibr20-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-002-0526-2"},{"key":"bibr21-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348948609500608"},{"key":"bibr22-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(84)80355-3"},{"key":"bibr23-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(90)90752-U"},{"key":"bibr24-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1993.01880180096018"},{"key":"bibr25-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348949810700501"},{"key":"bibr26-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111000103"},{"key":"bibr27-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-002-0465-y"},{"key":"bibr28-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00452-3"},{"key":"bibr29-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00360-8"},{"key":"bibr30-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(98)00061-5"},{"key":"bibr31-000348940511400102","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(00)80037-5"}],"container-title":["Annals of Otology, Rhinology &amp; 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