Laryngotracheal reconstruction for subglottic stenosis in children

John Maddalozzo, Lauren D. Holinger*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


The experience with laryngotracheal reconstruction in 20 children in Chicago is reviewed. Nine of the 20 children (45%) operated upon had congenital subglottic stenosis. Ten (50%) had acquired stenosis. One child was classified as having combined types. All patients underwent laryngotracheal reconstruction with autogenous costal cartilage grafts. Eight patients had both anterior and posterior costal cartilage grafts with stent insertion. One had a posterior costal cartilage graft only. Sixteen of the 20 children (80%) have been decannulated. Midtracheal or lower tracheal disease concomitant with laryngotracheal stenosis is an indication that endoscopic management of severe subglottic stenosis is likely to fail. Early laryngotracheal reconstruction is indicated for patients with a high likelihood of failure of endoscopic management and for those with severe cricoid cartilage deformities. Our results support the use of laryngotracheal reconstruction as an alternative to conservative (endoscopic) management of severe subglottic stenosis in carefully selected patients.

Original languageEnglish (US)
Pages (from-to)665-669
Number of pages5
JournalAnnals of Otology, Rhinology & Laryngology
Issue number6
StatePublished - Nov 1987


  • laryngeal stenosis
  • laryngotracheal reconstruction
  • laryngotracheal stenosis
  • subglottic stenosis
  • tracheotomy

ASJC Scopus subject areas

  • Otorhinolaryngology

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