There are many inherent challenges in the evaluation and management of children
with laryngotracheal disorders, and differ widely from one institution to another. The main
challenges include access to suitable equipment, fully trained surgeon and, cooperation with
the anaesthetist and paediatrician. During the past five years great advances have been made
in managing paediatric airway cases in the Department of Otorhinolaryngology-Head & Neck
Surgery at Universiti Sains Malaysia. The paediatric laryngotracheal cases undergoing
microlaryngoscopy and bronchoscopy from 2004 to 2008 are presented. More than 80 cases
have been reviewed. The most commonly presenting symptom was stridor. Other reasons for
referral were laryngotracheal stenosis, foreign body inhalation, unresolved lung disease, failed
extubation, examination prior to decannulation and hoarseness. Interventions were varied
and tailored to each problem. The management include observation, medical treatment,
closed (encdoscopic) techniques and open surgery
