Abstract
Posterior glottic stenosis and bilateral vocal fold immobility can be challenging conditions to manage. However, the introduction of endoscopic posterior cricoid expansion with costal cartilage grafting nearly 20 years ago has been revolutionary, resulting in shorter hospital stays, decreased morbidity, and improved vocal outcomes after surgery. Further advances have been made through the development of single-stage protocols, the use of non-traditional grafting materials, and the application of transoral robotic approaches to improve access and visualization. This review highlights the key features for safe and effective endoscopic posterior cricoid expansion and provides an overview of recent developments designed to decrease morbidity. Posterior glottic stenosis and bilateral vocal fold immobility can be challenging conditions to manage. However, the introduction of endoscopic posterior cricoid expansion with costal cartilage grafting nearly 20 years ago has been revolutionary, resulting in shorter hospital stays, decreased morbidity, and improved vocal outcomes after surgery. Further advances have been made through the development of single-stage protocols, the use of non-traditional grafting materials, and the application of transoral robotic approaches to improve access and visualization. This review highlights the key features for safe and effective endoscopic posterior cricoid expansion and provides an overview of recent developments designed to decrease morbidity.
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