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J R Soc Med. 1981 October; 74(10): 729–735.
PMCID: PMC1439236

Composite hyoid-sternohyoid graft in the correction of established subglottic stenosis.


A new technique for the treatment of subglottic stenosis is reported. A composite hyoid bone with sternohyoid muscle graft is used to replace the anterior arch of the cricoid, combined with a vertical split of the posterior laminal of the cricoid. Internal splinting is maintained with a Silastic mould. Ten patients with established subglottic stenosis, 7 from traumatic and 3 from non-traumatic causes, have been treated. All patients needed a tracheostomy for maintenance of an airway prior to operation. Nine patients were successfully decannulated two weeks after removal of the internal Silastic splint. Five of the 10 patients were children under the age of 13 years.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Alonso WA, Druck NS, Griffiths CM, Sumner HW, Ogura JH. Cricoid arch replacement in dogs. Further studies. Arch Otolaryngol. 1975 Jan;101(1):42–45. [PubMed]
  • BENNETT T. Laryngeal strictures. South Med J. 1960 Sep;53:1101–1104. [PubMed]
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  • Finnegan DA, Wong ML, Kashima HK. Hyoid autograft repair of chronic subglottic stenosis. Ann Otol Rhinol Laryngol. 1975 Sep-Oct;84(5 Pt 1):643–649. [PubMed]
  • Gerwat J, Bryce DP. The management of subglottic laryngeal stenosis by resection and direct anastomosis. Laryngoscope. 1974 Jun;84(6):940–957. [PubMed]
  • Grahne B. Operative treatment of severe chronic traumatic laryngeal stenosis in infants up to three years old. Acta Otolaryngol. 1971 Jul-Aug;72(1):134–137. [PubMed]
  • Ward PH, Canalis R, Fee W, Smith G. Composite hyoid sternohyoid muscle grafts in humans. Its use in reconstruction of subglottic stenosis and the anterior tracheal wall. Arch Otolaryngol. 1977 Sep;103(9):531–534. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press