Management of glottic stenosis

Limited glottic stenosis may be managed by microlaryngoscopy. The extensive lesions should be managed by extralaryngeal procedures. The techniques described here give the patient adequate respiratory and vocal rehabilitation with early decannulation. The lack of response to the more conservative procedures should indicate exploration via laryngofissure with precise incision and excision of the scar tissue and without resection of other vital laryngeal structures. Defects should be covered with acceptable flaps or grafts.