# Single stage cricoid split laryngoplasty with costochondral rib grafting is a novel approach to treat subglottic stenosis in a paediatric patient: A case report

## TL;DR

A new surgical method using a rib graft in a single operation successfully treated subglottic stenosis in a young child.

## Contribution

A novel single-stage surgical approach combining cricoid split laryngoplasty and costochondral rib grafting for pediatric subglottic stenosis.

## Key findings

- The procedure successfully restored airway function in a 13-month-old with Grade II subglottic stenosis.
- Early intervention with this method showed higher success rates and avoided long-term tracheostomy.
- The approach is safe, effective, and innovative for treating pediatric subglottic stenosis.

## Abstract

Subglottic stenosis (SGS) appears to be a commonly encountered condition in the paediatric age group. Single stage cricoid split laryngoplasty with costochondral rib grafting in paediatric patients is a unique, innovative, and advanced operation in nature. Morbidity and mortality rates can be minimized with early diagnosis and prompt treatment.

Presenting the case of a 13-month-old child diagnosed with Grade II SGS who was managed for cricoid split laryngoplasty with a costochondral rib graft. It was a unique strategy for providing infants and neonates with symptomatic SGS with a safe and efficient substitute for long-term tracheostomy. When healing was completed, the patient regained the function of their airway. The approach was successful, and preventable to long-term tracheostomy.

Performing this procedure early in children has shown higher rates of success and it is safe and effective. Further extensive research and studies need to be conducted in this domain, and every patient's status should be reviewed time and again to tend to their specific needs, and the choice of procedure should be made optimally based on clinical evaluations.

Successful management of a 13-month-old child with Grade II subglottic stenosis through cricoid split laryngoplasty with costochondral rib grafting is a challenging and novel approach to treating single-stage SGS.

•Laryngoplasty in single-stage surgery particularly in paediatric patients is unique in nature.•It is an innovative and advanced operation comprising an anterior/posterior cricoid split accompanied by a cartilage graft.•Performing this procedure earliest possible has shown higher rates of success and it is safe and effective.

Laryngoplasty in single-stage surgery particularly in paediatric patients is unique in nature.

It is an innovative and advanced operation comprising an anterior/posterior cricoid split accompanied by a cartilage graft.

Performing this procedure earliest possible has shown higher rates of success and it is safe and effective.