Panel discussion: the management of advanced laryngotracheal stenosis. Staged tracheal reconstruction

A staged method of repair of extended tracheal and combined laryngotracheal stenosis is presented. This entails creation of a trough by exteriorization of the involved segments, implantation of an alloplastic material adjacent to it, and the subsequent hinged rotation of the embedded implant over the trough to create a semi-rigid anterior wall to the airway. The development, indications, technique and complications of this method of tracheal reconstruction are discussed.