title: Management of laryngotracheal stenosis - our experience.
abstract: OBJECTIVE
  To describe our experience in the management of laryngotracheal stenosis (LTS).
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  This study was carried out from 2001 to 2004 on 30 cases. All cases were investigated by spiral computerized tomography and endoscopic examination.
  
  
  RESULTS
  There were 21 males and 9 females treated for LTS resulting from trauma (19), intubation (9) and congenital (2). Patients were divided into four groups based on surgical procedures they underwent: group I, endoscopy dilatation group (7 cases); group II, laryngotracheoplasty with Montgomery tube insertion (12 cases); group III, laryngotracheoplasty with Montgomery laryngeal stent insertion (5 cases) and group IV, cricotracheal resection with M-tube insertion (6 cases); The number of patients decannulated in group I, group II, group III and group IV were 4, 10, 0 and 5, respectively. We found statistically significant difference between decannulated and nondecannulated group for site and length of stenosis.
  
  
  CONCLUSIONS
  Patients undergoing dilatation for LTS require multiple procedures. Open surgical exploration with stent has a better outcome than those with repeated dilatation.
authors.affiliation: Department of Otorhinolaryngology and Head-Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Pradipta Kumar
authors.initials: PK
authors.lastname: Parida
authors.forename: Ashok Kumar
authors.initials: AK
authors.lastname: Gupta
keywords: Cricotracheal resection; Dilatation; Intubation; Laryngo tracheoplasty; Laryngotracheal stenosis; Trauma