[2-stage reconstruction of extensive subglottic tracheal stenosis]

The authors describe an open technique, used over the past 25 years to reconstruct the subglottic region in two stages after extensive laryngo-tracheal stenosis. After submucosal resection of fibrous tissue and reconstruction of the subglottic-tracheal skeleton by means of two autologous osseous grafts, a large laryngo-tracheostomy is created during the initial stage. A few weeks later, in a second stage, the anterior wall is closed using two cervical hinge-door flaps. Ten patients underwent this procedure and have had a minimal follow-up of 3 years. All ten patients could be decannulated after completion of the treatment and no recurrence of a stenosis could be observed during the follow-up.