Endoscopic Management of Subglottic Stenosis with the CO2 Surgical Laser

Recent advances in microsurgery of the larynx have heralded a new era in the endoscopic management of subglottic stenosis. The carbon-dioxide laser with bronchoscopic adapters can be successfully employed to reestablish an adequate subglottic lumen. Thirteen cases of subglottic stenosis were managed endoscopically with the carbon dioxide surgical laser. In 77% (10 of 13) of these patients, a satisfactory airway was reestablished within a one-year period. The technique of laser vaporization and the results of treatment are presented. The role of corticosteroid therapy, antibiotic therapy, tracheotomy, dilation, and laryngeal stenting is discussed.