To set the foundation for developing a centre for airway
reconstruction, we performed a retrospective database
review of patients operated at a tertiary-care university
hospital. Over the past 3-year period from 2004 onwards,
five paediatric cases of airway reconstruction procedures
were performed. All cases had a two stages laryngotracheal
reconstruction (TSLTR) for laryngotracheal stenosis (LTS). All
patients were children below 15 years and the mean age was
9 years. Only one patient had a Grade IV Myer-Cotton1
stenosis, the rest all had Grade III stenosis. Three out of four
of the Grade III stenosis patients were successfully
decannulated within one year, the other one died of causes
unrelated to LTS. The grade IV patient was still under follow up
and surgery was done only recently. This paper highlights
the complexity of managing LTS in the paediatric age group
and recommends the use of LTR with rib graft as a choice for
the management of LTS
