Single-Stage Laryngotracheal Reconstruction

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Abstract
THE SURGICAL management of subglottic stenosis (SGS) has been evolving since posterior cricoidotomy was first described by Rethi1 in 1956. In the late 1960s, following the reintroduction of long-term intubation in children as an alternative to tracheotomy for ventilatory support, the incidence of acquired SGS has increased.2 This was found to be more severe than congenital SGS, and was twice as likely to require tracheotomy. There was a higher rate of morbidity and mortality in patients with acquired SGS than in those with congenital SGS.3

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