Subglottic Stenosis and cricotracheal resection and reconstruction

Sub glottic stenosis is very disabling condition . Patient presents with breathlessness ,loss of voice, in case of complete stenosis patient may need permanent tracheotomy to live.

This is a story of young boy aged 12 years ,4 years back he suffered road side accident resulting loss of speech and  permanent tracheostomy. When the patient come fiberoptic bronchoscopy was done to ascertain level of level of block. CT scan was done to visualise the anatomy.
patient was taken up for surgery and planned for excision of stenosis and lyrngeotraceeal reconstruction.

Flap raising intense fibrosis


Thyrotomy done and site of anastomosis exposed


Proximal end of anastomosis 


Distal end of anastomosis


Two ends separated 

Posterior wall sutures taken over ET tube

closed with Sternocleidomastoid muscle over it. 

Sternocleidomastoid muscle flap


strap muscle closed





7 day post op video showing ability of boy speak after gap of 4 years and breath from nose.


Dr Adhishwar Sharma
MBBS, MS Gen Surgery PGIMER Chd
Mch Plastic Surgery
Fellowship in hand and microvascular surgery
brahmanandclinic.com
8860650846, adhishwar7@gmail.com

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