cricoid cartilage

Summary

Summary: The small thick cartilage that forms the lower and posterior parts of the laryngeal wall.

Top Publications

  1. Brasnu D. Supracricoid partial laryngectomy with cricohyoidopexy in the management of laryngeal carcinoma. World J Surg. 2003;27:817-23 pubmed
    ..space, the preepiglottic space, and the whole epiglottis are excised, whereas the hyoid bone, the cricoid cartilage, and one or two artenoid cartilages are preserved. A cricohyoidopexy is used for closure...
  2. Wagner M, Cure J, Caudell J, Spencer S, Nabell L, Carroll W, et al. Prognostic significance of thyroid or cricoid cartilage invasion in laryngeal or hypopharyngeal cancer treated with organ preserving strategies. Radiat Oncol. 2012;7:219 pubmed publisher
    ..RT) for locoregionally advanced squamous cell carcinoma (SCC) of the larynx or hypopharynx in the setting of thyroid or cricoid cartilage invasion (TCCI) is controversial. A retrospective review of our experience was performed.
  3. Assmann N, Wong D, Morales E. A comparison of a new indicator-guided with a conventional wire-guided percutaneous cricothyroidotomy device in mannequins. Anesth Analg. 2007;105:148-54 pubmed
    ..In this study we compared the insertion times of a new indicator-guided cricothyroidotomy device and a wire-guided device in mannequins...
  4. Benkhadra M, Lenfant F, Nemetz W, Anderhuber F, Feigl G, Fasel J. A comparison of two emergency cricothyroidotomy kits in human cadavers. Anesth Analg. 2008;106:182-5, table of contents pubmed publisher
  5. Schober P, Hegemann M, Schwarte L, Loer S, Noetges P. Emergency cricothyrotomy-a comparative study of different techniques in human cadavers. Resuscitation. 2009;80:204-9 pubmed publisher
    ..Several cricothyrotomy techniques exist, which can be grouped into two categories: anatomical-surgical and puncture...
  6. Zoratto D, Chau T, Steele C. Hyolaryngeal excursion as the physiological source of swallowing accelerometry signals. Physiol Meas. 2010;31:843-55 pubmed publisher
    ..to time-linked signals obtained from a dual-axis accelerometer placed on the neck, just anterior to the cricoid cartilage. Participants for this study included 43 adult patients referred for videofluoroscopic swallowing studies to ..
  7. Leon X, Lopez M, Garcia J, Viza I, Orus C, Quer M. Supracricoid laryngectomy as salvage surgery after failure of radiation therapy. Eur Arch Otorhinolaryngol. 2007;264:809-14 pubmed
  8. Cho J, Kang G, Kim E, Oh Y, Choi H, Im T, et al. Comparison of manikin versus porcine models in cricothyrotomy procedure training. Emerg Med J. 2008;25:732-4 pubmed publisher
    ..To compare the usefulness for training of a porcine model (larynx, trachea, and pig skin) and a manikin model using a Portex cricothyrotomy kit (PCK)...
  9. Dimitriadis J, Paoloni R. Emergency cricothyroidotomy: a randomised crossover study of four methods. Anaesthesia. 2008;63:1204-8 pubmed publisher

More Information

Publications72

  1. Nafiu O, Bradin S, Tremper K. Knowledge, attitude, and practice regarding cricoid pressure of ED personnel at a large U.S. teaching hospital. J Emerg Nurs. 2009;35:11-5 pubmed publisher
    ..There has been no previous attempt to assess the adequacy of knowledge of ED personnel in the application of CP. The objective of this study was to assess the theoretic knowledge of ED personnel about CP...
  2. Mariappa V, Stachowski E, Balik M, Clark P, Nayyar V. Cricothyroidotomy: comparison of three different techniques on a porcine airway. Anaesth Intensive Care. 2009;37:961-7 pubmed
    ..Overall, all the participants in our study preferred to use this kit in an emergency situation...
  3. Elliott D, Baker P, Scott M, Birch C, Thompson J. Accuracy of surface landmark identification for cannula cricothyroidotomy. Anaesthesia. 2010;65:889-94 pubmed publisher
    ..Accuracy of percutaneously identifying the cricothyroid membrane was poor. Ultrasound may assist in identifying anatomical landmarks for cricothyroidotomy...
  4. Brisson P, Brisson M. Variable application and misapplication of cricoid pressure. J Trauma. 2010;69:1182-4 pubmed publisher
    ..The objectives of this observational study were to determine how many different techniques of cricoid pressure were being used and to identify the reasons for such variability of technique...
  5. Hill C, Reardon R, Joing S, Falvey D, Miner J. Cricothyrotomy technique using gum elastic bougie is faster than standard technique: a study of emergency medicine residents and medical students in an animal lab. Acad Emerg Med. 2010;17:666-9 pubmed publisher
    ..The new bougie-assisted cricothyrotomy technique (BACT) is similar to the rapid four-step technique (RFST), but a bougie and endotracheal tube are inserted rather than a Shiley tracheostomy tube...
  6. Salah N, Mhuircheartaigh R, Hayes N, McCaul C. A comparison of four techniques of emergency transcricoid oxygenation in a manikin. Anesth Analg. 2010;110:1083-5 pubmed publisher
    ..There were no differences between the other groups at any time. Time to ventilation improved with repetition in all groups. Skills were retained at 1 month...
  7. Maranillo E, Vazquez T, Mirapeix R, Leon X, McHanwell S, Quer M, et al. Ceratocricoid muscle: an embryological and anatomical study. Clin Anat. 2009;22:463-70 pubmed publisher
    ..This may be a possible explanation for the causation of certain idiopathic recurrent laryngeal nerve palsies...
  8. Hubble M, Wilfong D, Brown L, Hertelendy A, Benner R. A meta-analysis of prehospital airway control techniques part II: alternative airway devices and cricothyrotomy success rates. Prehosp Emerg Care. 2010;14:515-30 pubmed publisher
    ..In these situations alternative airways are frequently employed. However, the reported success rates for these devices vary widely, and established benchmarks are lacking...
  9. Murphy C, Rooney S, Maharaj C, Laffey J, Harte B. Comparison of three cuffed emergency percutaneous cricothyroidotomy devices to conventional surgical cricothyroidotomy in a porcine model. Br J Anaesth. 2011;106:57-64 pubmed publisher
    ..We compared the utility of three cuffed cricothyroidotomy devices: cuffed Melker®, Quicktrach 2®, and PCK® devices, with surgical cricothyroidotomy...
  10. Paix B, Griggs W. Emergency surgical cricothyroidotomy: 24 successful cases leading to a simple 'scalpel-finger-tube' method. Emerg Med Australas. 2012;24:23-30 pubmed publisher
    ..All attempts were successful, the majority through a simple open 'scalpel-finger-tube' method, which is described here...
  11. Helmstaedter V, Wetsch W, Böttiger B, Hinkelbein J. [Comparison of ready-to-use devices for emergency cricothyrotomy : randomized and controlled feasibility study on a mannequin]. Anaesthesist. 2012;61:310-9 pubmed publisher
    ..Therefore, the intention of this randomized and controlled feasibility study was to test various sets and compare them to the classical surgical approach...
  12. Metterlein T, Frommer M, Ginzkey C, Becher J, Schuster F, Roewer N, et al. A randomized trial comparing two cuffed emergency cricothyrotomy devices using a wire-guided and a catheter-over-needle technique. J Emerg Med. 2011;41:326-32 pubmed publisher
  13. Priebe H. Cricoid pressure: an expert's opinion. Minerva Anestesiol. 2009;75:710-4 pubmed
  14. McIntosh S, Swanson E, Barton E. Cricothyrotomy in air medical transport. J Trauma. 2008;64:1543-7 pubmed publisher
    ..The endpoint of airway maneuvers is a cricothyrotomy which may be live-saving if other measures fail. We reviewed cricothyrotomy cases in our AMT program to evaluate the success rate and the circumstances surrounding the procedure...
  15. Ellis D, Harris T, Zideman D. Cricoid pressure in emergency department rapid sequence tracheal intubations: a risk-benefit analysis. Ann Emerg Med. 2007;50:653-65 pubmed
    ..An awareness of the benefits and potential problems with technique allows the practitioner to better judge when cricoid pressure should be used and instances in which it should be removed...
  16. Quigley P, Jeffrey P. Cricoid pressure: assessment of performance and effect of training in emergency department staff. Emerg Med Australas. 2007;19:218-22 pubmed
    ..i) To evaluate the theoretical knowledge and practical skills of ED staff regarding the technique of cricoid pressure; (ii) to assess the efficacy of two methods of cricoid pressure training...
  17. Ho A, Wong W, Ling E, Chung D, Tay B. Airway difficulties caused by improperly applied cricoid pressure. J Emerg Med. 2001;20:29-31 pubmed
  18. Holmes J, Panacek E, Sakles J, Brofeldt B. Comparison of 2 cricothyrotomy techniques: standard method versus rapid 4-step technique. Ann Emerg Med. 1998;32:442-6 pubmed
    ..To compare the success rate, complication rate and time required for the rapid 4-step technique versus the standard technique for cricothyrotomy...
  19. Schaumann N, Lorenz V, Schellongowski P, Staudinger T, Locker G, Burgmann H, et al. Evaluation of Seldinger technique emergency cricothyroidotomy versus standard surgical cricothyroidotomy in 200 cadavers. Anesthesiology. 2005;102:7-11 pubmed
    ..Percutaneous cricothyroidotomy is a lifesaving procedure for airway obstruction in trauma victims who need airway establishment and cannot be intubated or in whom intubation has failed...
  20. Morris J, Cook T. Rapid sequence induction: a national survey of practice. Anaesthesia. 2001;56:1090-7 pubmed
    ..They were less likely to practice a failed intubation drill. Other aspects of practice varied little between grades. This survey suggests that many anaesthetists do not follow best practice when performing a rapid sequence induction...
  21. Cherukupally S, Adams A, Mankarious L. Age-related mechanisms of cricoid cartilage response to injury in the developing rabbit. Laryngoscope. 2003;113:1145-8 pubmed
    To evaluate age-related mechanisms of cricoid cartilage response to injury in an animal model.
  22. Kopka A, Robinson D. The 50 ml syringe training aid should be utilized immediately before cricoid pressure application. Eur J Emerg Med. 2005;12:155-8 pubmed
    ..In our study, we tested whether a 50 ml syringe utilized as a training aid immediately before the assessment of simulated rapid sequence induction on a different cricoid pressure simulator would improve staff performance...
  23. Clark R, Trethewy C. Assessment of cricoid pressure application by emergency department staff. Emerg Med Australas. 2005;17:376-81 pubmed
    ..To assess the accuracy of cricoid force applied by ED staff working in two hospitals based on the New South Wales central coast...
  24. Smith K, Ladak S, Choi P, Dobranowski J. The cricoid cartilage and the esophagus are not aligned in close to half of adult patients. Can J Anaesth. 2002;49:503-7 pubmed
    To determine the frequency and degree of lateral displacement of the esophagus relative to the cricoid cartilage ("cricoid") using computed tomography (CT) images of normal necks.
  25. Hocking G, Roberts F, Thew M. Airway obstruction with cricoid pressure and lateral tilt. Anaesthesia. 2001;56:825-8 pubmed
    ..Cricoid pressure with lateral tilt did not produce any additional airway obstruction to that in the supine position. Complete airway obstruction (tidal volume < 200 ml) resulted on three occasions, all with cricoid pressure applied...
  26. Owen H, Follows V, Reynolds K, Burgess G, Plummer J. Learning to apply effective cricoid pressure using a part task trainer. Anaesthesia. 2002;57:1098-101 pubmed
    ..001). This study demonstrates that improved training in cricoid pressure is needed and supports earlier researchers who suggested that this can be achieved using simulators...
  27. Sagarin M, Barton E, Chng Y, Walls R. Airway management by US and Canadian emergency medicine residents: a multicenter analysis of more than 6,000 endotracheal intubation attempts. Ann Emerg Med. 2005;46:328-36 pubmed
    ..We determine success rates of endotracheal intubation performed in emergency departments (EDs) by North American emergency medicine residents...
  28. Rifai M, Heiba M, Salah H. Anterior commissure carcinoma II: the role of salvage supracricoid laryngectomy. Am J Otolaryngol. 2002;23:1-3 pubmed
    ..of the thyroid cartilage with the tumor-bearing mucosa and subsequent anastomosis between the thyroid and cricoid cartilage. It is therefore called cricohyoidopexy, or cricohyoidoepiglottopexy if the epiglottis is also included in ..
  29. Bair A, Panacek E, Wisner D, Bales R, Sakles J. Cricothyrotomy: a 5-year experience at one institution. J Emerg Med. 2003;24:151-6 pubmed
    ..Additionally, the RFST was the most commonly used technique for cric at this institution. The complication rate of cric was significantly higher in the prehospital environment than in the ED...
  30. Fikkers B, van Vugt S, van der Hoeven J, van den Hoogen F, Marres H. Emergency cricothyrotomy: a randomised crossover trial comparing the wire-guided and catheter-over-needle techniques. Anaesthesia. 2004;59:1008-11 pubmed
    ..We conclude that the wire-guided minitracheotomy kit is unsuitable for emergency cricothyrotomies performed by inexperienced practitioners. On the other hand, the catheter-over-needle technique appears to be quick, safe and reliable...
  31. Luna Ortiz K, Granados Garcia M, Veivers D, Pasche P, Tamez Velarde M, Herrera Gomez A, et al. [Supracricoid laryngectomy with cricohyoidoepiglotopexy (CHEP). Preliminary report of the National Institute of Cancer]. Rev Invest Clin. 2002;54:515-20 pubmed
    ..To present the preliminary results in our institute with supracricoid laryngectomy with cricohyoidoepiglotopexy (CHEP), as well as to evaluate possible short-term complications...
  32. Mutzbauer T, Munz R, Helm M, Lampl L, Herrmann M. [Emergency cricothyrotomy--puncture or anatomical preparation? Peculiarities of two methods for emergency airway access demonstrated in a cadaver model]. Anaesthesist. 2003;52:304-10 pubmed
    ..The aim of the study was a demonstration of peculiarities of two invasive airway management methods performed by anesthesiology residents as a subgroup of emergency physicians...
  33. Isaacs J. Emergency cricothyrotomy: long-term results. Am Surg. 2001;67:346-9; discussion 349-50 pubmed
    ..In most cases these problems were due to the underlying disease process. EC is effective in obtaining an airway with a low incidence of later severe airway problems. However, many of these patients do poorly overall...
  34. Sulaiman L, Tighe S, Nelson R. Surgical vs wire-guided cricothyroidotomy: a randomised crossover study of cuffed and uncuffed tracheal tube insertion. Anaesthesia. 2006;61:565-70 pubmed
    ..001). Fourteen of the participants preferred the wire-guided system. We conclude that, in this model, a cuffed device is preferable when cricothyroidotomy is needed. In addition, the surgical method is quicker than a wire-guided approach...
  35. Helm M, Gries A, Mutzbauer T. Surgical approach in difficult airway management. Best Pract Res Clin Anaesthesiol. 2005;19:623-40 pubmed
    ..As with all other critical procedures in emergency medicine, a thorough knowledge of the technique and adequate practice prior to attempting to perform an emergency cricothyroidotomy are essential...
  36. Laudadio P, Presutti L, Dall Olio D, Cunsolo E, Consalici R, Amorosa L, et al. Supracricoid laryngectomies: long-term oncological and functional results. Acta Otolaryngol. 2006;126:640-9 pubmed
    ..These surgical techniques allow a good quality of life with the preservation of the larynx...
  37. Su C, Tsai S, Chuang H, Chiu J. Functional significance of arytenoid adduction with the suture attaching to cricoid cartilage versus to thyroid cartilage for unilateral paralytic dysphonia. Laryngoscope. 2005;115:1752-9 pubmed
    ..of this technique, a new paramedian approach to arytenoid adduction anchors anteroinferiorly to the cricoid cartilage, mimicking the force action of the lateral cricoarytenoid muscle (the major adductor of the larynx)...
  38. Robinson K, Katz R, Jacobs L. A 12-year experience with prehospital cricothyrotomies. Air Med J. 2001;20:27-30 pubmed
    ..The purposes of this study were to review our program's experience with cricothyrotomies and use this pilot study to guide an industry-wide study...
  39. Clayton T, Vanner R. A novel method of measuring cricoid force. Anaesthesia. 2002;57:326-9 pubmed
    ..The use of floor scales is a useful method of demonstrating the forces needed for effective cricoid pressure...
  40. Spriano G, Pellini R, Romano G, Muscatello L, Roselli R. Supracricoid partial laryngectomy as salvage surgery after radiation failure. Head Neck. 2002;24:759-65 pubmed
  41. Vadodaria B, Gandhi S, McIndoe A. Comparison of four different emergency airway access equipment sets on a human patient simulator. Anaesthesia. 2004;59:73-9 pubmed
    ..The pre-assembled and user-friendly 'Quiktrach' set provided the fastest and most effective means of oxygenation in the simulated patient requiring an emergency surgical airway...
  42. Wright M, Greenberg D, Hunt J, Madan A, McSwain N. Surgical cricothyroidotomy in trauma patients. South Med J. 2003;96:465-7 pubmed
    ..We examined whether conversion to tracheostomy reduces the risk of acute complications...
  43. Kopka A, Crawford J. Cricoid pressure: a simple, yet effective biofeedback trainer. Eur J Anaesthesiol. 2004;21:443-7 pubmed
    ..The device is easy to assemble at relatively little cost with material widely available. It allows effective biofeedback training of the force required during the Sellick manoeuvre and can be used for routine staff assessment...
  44. Ohashi N, Imai H, Seino Y, Baba H. Pediatric Patients with High Pulmonary Arterial Pressure in Congenital Heart Disease Have Increased Tracheal Diameters Measured by Computed Tomography. J Cardiothorac Vasc Anesth. 2018;32:1676-1681 pubmed publisher
    ..The primary outcome was the tracheal diameter at the cricoid cartilage level, and the secondary goal was to observe whether the size of the tracheal tube was appropriate compared ..
  45. Loganathan N, Liu E. Cricoid pressure: ritual or effective measure?. Singapore Med J. 2012;53:620-2 pubmed
    ..is defined by Sellick as temporary occlusion of the upper end of the oesophagus by backward pressure of the cricoid cartilage against the bodies of the cervical vertebrae...
  46. Heard A, Green R, Eakins P. The formulation and introduction of a 'can't intubate, can't ventilate' algorithm into clinical practice. Anaesthesia. 2009;64:601-8 pubmed publisher
    ..This article discusses our training programme, the evaluation of emergency airway techniques and subsequent development of a 'can't intubate, can't ventilate' algorithm. ..
  47. Damrose E. On the development of idiopathic subglottic stenosis. Med Hypotheses. 2008;71:122-5 pubmed publisher
    Idiopathic subglottic stenosis is a fibrotic narrowing of the airway at the level of the cricoid cartilage, which can result in severe dyspnea...
  48. Monnier P, Ikonomidis C, Jaquet Y, George M. Proposal of a new classification for optimising outcome assessment following partial cricotracheal resections in severe pediatric subglottic stenosis. Int J Pediatr Otorhinolaryngol. 2009;73:1217-21 pubmed publisher
    ..This new classification is relatively simple and aimed at providing more accurate and uniform prognostic information to both patients and surgeons when dealing with the whole spectrum of severe SGS. ..
  49. Brigand C, Ferraro P, Martin J, Duranceau A. Risk factors in patients undergoing cricopharyngeal myotomy. Br J Surg. 2007;94:978-83 pubmed
    ..Local infection was the main complication in those with pharyngo-oesophageal diverticulum. Persistent aspiration can lead to laryngeal exclusion or resection with permanent tracheostomy. ..
  50. Bahannan A, Slavicek A, Taudy M, Chovanec M. Septal graft in laryngeal reconstruction. Saudi Med J. 2006;27:1758-60 pubmed
    ..Ultrasonography and computed tomography examinations revealed mass extending from the cricoid cartilage to the left lobe of thyroid gland and thyroid cartilage...
  51. Won H, Han S, Oh C, Chung I, Won H, Kim J. Location and morphometry of the thyroid isthmus in adult Korean cadavers. Anat Sci Int. 2013;88:212-6 pubmed publisher
    ..9 years, range 19-94 years) were used for this study. The distances from the inferior border of the cricoid cartilage to the superior and inferior margins of the isthmus were 4.9 ± 3.7 and 20.8 ± 5.8 mm, respectively...
  52. Luna Ortiz K, Nuñez Valencia E, Carmona Luna T. [Supracricoid partial laryngectomy as salvage for recurrent carcinoma of the larynx initially treated by vertical partial hemilaryngectomy. Case report]. Cir Cir. 2008;76:333-7 pubmed
    ..When recurrence occurs, SCPL + CHEP must be considered according to the established criteria for this procedure. Total laryngectomy must be considered as the last option, with the only purpose being a normal quality of life. ..
  53. Melkane A, Matar N, Haddad A, Nassar M, Almoutran H, Rohayem Z, et al. Management of postintubation tracheal stenosis: appropriate indications make outcome differences. Respiration. 2010;79:395-401 pubmed publisher
    ..Our experience in the management of PILTS demonstrates that both surgery and endoscopy yield excellent functional outcomes if the treatment strategy is based on clear, predefined objective criteria. ..
  54. Weiss M, Gerber A. Cuffed tracheal tubes in children--things have changed. Paediatr Anaesth. 2006;16:1005-7 pubmed
  55. Walker R, Ravi R, Haylett K. Effect of cricoid force on airway calibre in children: a bronchoscopic assessment. Br J Anaesth. 2010;104:71-4 pubmed publisher
    ..However, this force could be as low as 5 N in children <1 yr of age, and up to between 15 and 25 N in teenagers. Forces well below the recommended value of 30 N will cause significant compression/distortion of the airway in a child. ..
  56. Marchica C, Zawawi F, Daniel S. Management of cricopharyngeal achalasia in an 8-month child using endoscopic cricopharyngeal myotomy. Int J Pediatr Otorhinolaryngol. 2017;101:137-140 pubmed publisher
    ..Patient was able to tolerate oral feeds as early as 2 months post-operatively. This is the youngest patient, to our knowledge, treated with endoscopic CP myotomy. Intraoperative pictures and video are presented...
  57. Cooper S. "We need to cut the neck!": Confronting psychological and moral distress during emergency cricothyrotomy. Narrat Inq Bioeth. 2013;3:E5-9 pubmed publisher
  58. De Virgilio A, Fusconi M, Gallo A, Greco A, Kim S, Conte M, et al. The oncologic radicality of supracricoid partial laryngectomy with cricohyoidopexy in the treatment of advanced N0-N1 laryngeal squamous cell carcinoma. Laryngoscope. 2012;122:826-33 pubmed publisher
  59. Hamaekers A, Henderson J. Equipment and strategies for emergency tracheal access in the adult patient. Anaesthesia. 2011;66 Suppl 2:65-80 pubmed publisher
    ..Avoiding delay in initiating rescue techniques is at least as important as choice of device in determining outcome...
  60. Kaliszan M, Kernbach Wighton G, BouHaidar R. Multiple self-inflicted stab wounds to neck, chest and abdomen as a unique manner of suicide. J Forensic Sci. 2010;55:822-5 pubmed publisher
    ..Together with hesitation marks located on the neck and wrists these characteristics allowed to interpret this case as a suicide...
  61. Hooker E, Danzl D, O BRIEN D, Presley M, Whitaker G, Sharp M. Percutaneous transtracheal ventilation: resuscitation bags do not provide adequate ventilation. Prehosp Disaster Med. 2006;21:431-5 pubmed
    ..Percutaneous, transtracheal jet ventilation (PTJV) is an effective way to ventilate both adults and children. However, some authors suggest that a resuscitation bag can be utilized to ventilate through a cannula placed into the trachea...
  62. Sandu K, Monnier P. Cricotracheal resection. Otolaryngol Clin North Am. 2008;41:981-98, x pubmed publisher
    ..Pediatric surgeons and otolaryngologists should learn carefully the technique of partial cricotracheal resection for use in infants and children to achieve better results than with laryngotracheal reconstructions...
  63. Lin R, Chen J, Guo Z, Jia M, Peng J. [Comparison of postoperative deglutition disorder in patients with laryngeal carcinoma after different types of supracricoid partial laryngectomy]. Zhonghua Zhong Liu Za Zhi. 2011;33:63-6 pubmed
    ..To Evaluate the incidence rates and extents of deglutition disorder in patients with laryngeal carcinoma after different types of supracricoid partial laryngectomy...