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The risk of the 25 gauge needle breaking during injection through the cricothyroid membrane is reduced by withdrawing the needle after initial injection, before the patient coughs.
Inferior extension can take a cyst through the cricothyroid membrane and into the paratracheal region.
Cricothyroidotomy allows direct access to the trachea through the cricothyroid membrane between the cartilages.
An excisional biopsy revealed a firm mass fixed to the larynx at the left edge of the cricothyroid membrane.
A needle inserted into the trachea via the cricothyroid membrane permitted successful intermittent jet ventilation with oxygen.
The alternative is to puncture the cricothyroid membrane with a 27-gauge needle and instill 2 to 4 ml of 4% lidocaine transtracheally.