Abstract:
Surgical correction of grade III glotto-subglottic stenosis
in a two-month-old girl was illustrated in a staged mann
e r. Firstly, a silicone keel was placed via anterior thyrotomy
following a tracheotomy. Secondly, laryngotracheal
reconstruction was performed by interposing an
autogenous thyroid cartilage anteriorly between the
edges of the longitudinally divided cricoid cartilage and
the upper tracheal rings. A stent was maintained for two
months. The glottis and subglottis appeared patent and
healed following removal of the stent. A meaningful
voice and rather comfortable respiration were observed
during a 13-month follow-up.The use of thyroid cartilage
autograft offers many advantages in laryngotracheal
reconstruction with considerably less technical diff i c u l t y.
