Subglottic Tracheal Stenosis

  • Henning A. GaissertEmail author
  • Douglas J. Mathisen
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)


The resection and reconstruction of benign laryngotracheal strictures demands from the surgeon a critical selection of patients and careful preoperative judgment. The technical execution of the operation depends on mucosal resurfacing of cartilaginous planes within a small subglottic lumen. Postoperative edema or mucosal compromise potentially threatens the airway and clinical outcome; this circumstance explains the somewhat higher early complication rate and the slightly inferior long-term results compared with simple tracheal end-to-end anastomosis. When carefully performed, however, laryngotracheal reconstruction offers effective treatment with excellent long-term results for both idiopathic and intubation stenosis.

Selected Bibliography

  1. Ashiku SK, Kuzucu A, Grillo HC, Wright CD, Wain JC, Lo B, Mathisen DJ (2004) Idiopathic laryngotracheal stenosis: effective definitive treatment with laryngotracheal resection. J Thorac Cardiovasc Surg 127:99–107PubMedCrossRefGoogle Scholar
  2. Grillo HC (2004) Laryngotracheal reconstruction. In: Grillo HC (ed) Surgery of the trachea and bronchi. BC Decker, HamiltonGoogle Scholar
  3. Grillo HC, Mathisen DJ, Wain JC (1992) Laryngotracheal resection and reconstruction for subglottic stenosis. Ann Thorac Surg 53:54–63PubMedCrossRefGoogle Scholar
  4. Grillo HC, Donahue DM, Mathisen DJ, Wain JC, Wright CD (1995) Postintubation tracheal stenosis. Treatment and results. J Thorac Cardiovasc Surg 109:486–492PubMedCrossRefGoogle Scholar
  5. Liberman M, Mathisen DJ (2009) Tailored cricoplasty: an improved modification for reconstruction in subglottic tracheal stenosis. J Thorac Cardiovasc Surg 137:573–578PubMedCrossRefGoogle Scholar
  6. Wright CD, Grillo HC, Wain JC et al (2004) Anastomotic complications after tracheal resection: prognostic factors and management. J Thorac Cardiovasc Surg 128:731–739PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of SurgeryHarvard Medical School, Massachusetts General HospitalBostonUSA
  2. 2.Division of Thoracic SurgeryHarvard Medical School, Massachusetts General HospitalBostonUSA

Personalised recommendations