Arch Otolaryngol
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A recommended approach to postextubation infant subglottic stenosis secondary to subglottic edema employs the recently described anterior cricoid split (ACS) procedure. This technique provides an expanded subglottic airway with minimal paratracheal dissection and does not require concomitant tracheotomy. We applied this procedure in managing extubation difficulty in pediatric as well as neonatal patients. ⋯ Relief of stridor and avoidance of tracheotomy were accomplished in nine of ten patients. One patient in whom mechanical ventilation was reinstituted developed an interesting complication. In properly selected infants with subglottic airway compromise, the ACS appears to be an effective adjunct in facilitating extubation.
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The orbital complications of paranasal sinus infection are well known to otolaryngologists. However, only a few articles have reported subperiosteal orbital hematoma as one of these complications. ⋯ A case of subperiosteal orbital hematoma secondary to ethmoidal sinusitis is presented. The relevant clinical characteristics, pathophysiology, and differential diagnosis of subperiosteal orbital hematoma, as well as treatment options, are reviewed and presented as they apply to cases associated with sinusitis.