Pediatric Airway Disorders

Laryngotracheal Reconstruction (LTR) — Single-Staged Repair

This complex surgery, sometimes called laryngotracheoplasty, enlarges a narrowed airway by opening a scarred area and placing cartilage grafts in the openings to widen the diameter of the airway.

LTR Single-Staged Repair

Airway surgeons explain how a laryngotracheal reconstruction is done.

These grafts may be taken from either the anterior ribs or thyroid cartilage of the larynx and placed on the anterior (front) or posterior (back) walls of the airway, or in both places.

This surgery can take anywhere from three to five hours and the child leaves the operating room with a breathing tube (no tracheostomy). The child's breathing tube must remain in place for four to seven days to stent the area while it heals.

The total length of the hospital stay will depend on your child's healing process, and is typically one to two weeks in the ICU.

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