Techniques of management of subglottic stenoses with glottic and supraglottic problems

Glottic problems complicating a subjacent tracheal or subglottic stenosis may result from various causes, such as glottic closure due to fixation or paralysis of vocal cords, fibrous stenosing scars of the glottis, or instability of arytenoid cartilages. Resecting scar tissues, molding the closed glottis, and stenting a patent laryngeal lumen until consolidation are the basic means which, when associated in selected indications, allow recovery of respiration and speech through the normal routes.