Technique of management of subglottic stenosis

There have been innumerable approaches to the management of subglottic stenosis, which bear testimony to the difficulty in obtaining predictably satisfactory results. Management includes techniques of endoscopic dilation, laser resection, laryngofissure and stenting, and an ingenious array of plastic reconstructions with or without postoperative stenting. On occasion, permanent intubation with a conventional distal tracheotomy or a silicone rubber T tube may be used.