Laryngotracheal separation through the cricoid ring for management of tracheobronchomegaly

Derek D Kao; Lauren S Buck; Erik B Hysinger; Alister J Bates; Chamindu C Gunatilaka; Michael J Rutter

doi:10.1016/j.ijporl.2022.111266

Laryngotracheal separation through the cricoid ring for management of tracheobronchomegaly

Int J Pediatr Otorhinolaryngol. 2022 Oct:161:111266. doi: 10.1016/j.ijporl.2022.111266. Epub 2022 Aug 4.

Authors

Derek D Kao¹, Lauren S Buck², Erik B Hysinger³, Alister J Bates⁴, Chamindu C Gunatilaka⁴, Michael J Rutter⁵

Affiliations

¹ Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
² Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
³ Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA; Aerodigestive Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
⁴ Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA; Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
⁵ Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA; Aerodigestive Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: Mike.Rutter@cchmc.org.

PMID: 35964494
DOI: 10.1016/j.ijporl.2022.111266

Abstract

Tracheobronchomegaly is a rare condition characterized by diffuse dilation of the trachea and main bronchi. In ventilator-dependent neonates with tracheobronchomegaly, a tracheostomy may be hazardous due to the lack of an appropriate tracheostomy tube size that can fit the enlarged trachea. Here, we describe a modification of the laryngotracheal separation procedure to permit ventilation in a child with tracheobronchomegaly and severe bronchopulmonary dysplasia.

Publication types

Case Reports

MeSH terms

Bronchi / diagnostic imaging
Bronchi / surgery
Child
Humans
Infant, Newborn
Trachea / surgery
Tracheobronchomegaly*
Tracheostomy
Tracheotomy