Cricoidectomy
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A cricoidectomy is the surgical excision of the
cricoid cartilage The cricoid cartilage , or simply cricoid (from the Greek ''krikoeides'' meaning "ring-shaped") or cricoid ring, is the only complete ring of cartilage around the trachea. It forms the back part of the voice box and functions as an attachment si ...
. The excision can often be performed under
local anaesthetic A local anesthetic (LA) is a medication that causes absence of pain sensation. In the context of surgery, a local anesthetic creates an absence of pain in a specific location of the body without a loss of consciousness, as opposed to a general ...
and can either be partial or total. The procedure may be necessary as a treatment of
pulmonary aspiration Pulmonary aspiration is the entry of material such as pharyngeal secretions, food or drink, or stomach contents from the oropharynx or gastrointestinal tract, into the larynx (voice box) and lower respiratory tract, the portions of the respira ...
, to prevent progression to
aspiration pneumonia Aspiration pneumonia is a type of lung infection that is due to a relatively large amount of material from the stomach or mouth entering the lungs. Signs and symptoms often include fever and cough of relatively rapid onset. Complications may inclu ...
. As the cricoid cartilage is the narrowest part of the
trachea The trachea, also known as the windpipe, is a Cartilage, cartilaginous tube that connects the larynx to the bronchi of the lungs, allowing the passage of air, and so is present in almost all air-breathing animals with lungs. The trachea extends ...
, it is also a common point of a blockage or narrowing (
stenosis A stenosis (from Ancient Greek στενός, "narrow") is an abnormal narrowing in a blood vessel or other tubular organ or structure such as foramina and canals. It is also sometimes called a stricture (as in urethral stricture). ''Stricture'' ...
).Introduction
Paolo Macchiarini; Jean-Philippe Verhoye; Alain Chapelier; Elie Fadel; Philippe Dartevelle (2000) "Partial cricoidectomy with primary thyrotracheal anastomosis for postintubation subglottic stenosis" ''J Thorac Cardiovasc Surg''
Michihiko Sonea1; Tsutomu Nakashimaa1; Noriyuki Yanagita (1995) "Laryngotracheal separation under local anaesthesia for intractable salivary aspiration: cricoidectomy with fibrin glue support" ''The Journal of Laryngology & Otology:Cambridge University Press''


References

Trachea surgery {{treatment-stub