Endoscopic cricoid expansion and reduction are newer approaches to the management ofpediatric bilateral vocal fold immobility and postlaryngotracheal reconstruction glotticinsufficiency, respectively. These procedures offer a less invasive, endoscopicalternative to procedures that typically required open management with a more prolongedrecovery. These technically demanding procedures are currently performed only in selectcenters, and there is no currently described training model for practicing them. Wepresent a modification to a laryngeal dissection station that allows for simulation ofendoscopic cricoid reduction and expansion with excised larynges. The model allowstrainees to practice endoscopic posterior cricoid exposure, incision of the cricoidcartilage, placement of a simulated costal cartilage graft for expansion, and endoscopicsuturing for reduction. Development of simulators for procedures that are infrequentlyperformed have the potential to help trainees reach surgical competency faster and moresafely.
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