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Otolaryngology-Head and Neck Surgery

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Treating Complex Airway Conditions

Following your diagnosis, the multidisciplinary team of the Complex Airway Clinic may discuss the following treatments with you:

  • Endoscopic excision and dilation: the removal of tissue and opening of the airway without making any external incisions.
  • Endoscopic placement of a tracheal stent: the placement of a stent in the windpipe (trachea) to hold the airway open.
  • Cricotracheal/ tracheal resection: removal of the damaged part of the windpipe (trachea).
  • Endoscopic laryngotracheoplasty (Maddern procedure): reconstruction of the upper airway.

Therapies we may discuss for glottic stenosis (narrowing at the vocal cords) include:

  • Laser cordotomy: laser incision made in paralyzed vocal cords to allow greater airflow.
  • Partial arytenoidectomy: partial removal of the areytenoid cartilage located around the vocal cords.
  • Open-airway surgery of the larynx, including posterior cricoid split with rib graft: surgical opening of the airway using a graft of rib cartilage to support the opening.