Laryngotracheal reconstruction

Subglottic stenosis represents a challenging problem in pediatric otolaryngology. A multidisciplinary care team is required to achieve successful outcomes. The primary therapy is surgical in nature. Expansion laryngotracheal reconstruction represents the primary surgical modality. Over time, advances in laryngotracheal reconstruction techniques and postoperative management have lead to excellent overall outcomes towards a primary goal of decannulation of tracheostomy dependent children. Recent efforts have been directed towards improving voice outcomes and devising less invasive procedures. Although the management of pediatric subglottic stenosis remains complex, most children can be successfully decannulated with proper surgical management.