Laryngotracheal resection: perioperative management and surgical technique

In the landscape of tracheal surgery, subglottic stenosis still represents a demanding condition because of the technical and functional implications surrounding the peculiar anatomy of the lower larynx. Since the basis for a safe and complete surgical excision of subglottic stenosis with primary laryngotracheal anastomosis have been described, results from large published series have reported excellent and durable success in this setting in view of low morbidity and mortality rates, thus affirming the role of surgery as the definitive treatment of choice for benign stenosis. In recent years, novel techniques are been developed that pertain in particular the treatment of idiopathic stenosis. This article focuses on tricks and tips about the main technical aspects and perioperative management in the field of laryngotracheal resection.