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A total of 42 patients with cicatricious stenosis of the larynx and trachea were treated between 1971 and 1990. One-fourth of the patients were children and three-fourth were adults. The cause was iatrogenic in 57%. These cases represent a relative consistency of management principles. For cicatricious stenosis of the larynx and cervical trachea: (1) The cartilaginous framework should be repositioned and fixed, (2) The stenotic area and granulation tissue should be excised, (3) The raw surface of the mucosa should be covered with skin or mucosal graft, (4) The stent should be left in position for more than 3 months. For cicatricious stenosis of the thoracic trachea: (1) The stenotic area and granulation tissue should be excised by laser, (2) The stent should be left in position.

Cicatricious Stenosis of the Larynx and Trachea