This complex surgery treats the combined narrowing of the larynx and trachea, often due to scarring from intubation, autoimmune disease, or trauma. It involves removing and reconstructing the affected airway segment using nearby tissue, grafts, or cartilage support. The goal is to restore both breathing and voice function as fully as possible.

The procedure is done under general anesthesia through a neck incision. The narrowed airway is resected, and the remaining larynx and trachea are joined. Depending on the severity of the case, stents or grafts may be used, and a temporary tracheostomy is often placed. Recovery includes hospitalization, strict airway precautions, and regular endoscopic follow-up. Patients may notice voice changes depending on how close the repair was to the vocal folds. Risks include scarring, recurrence of stenosis, or difficulty swallowing, but many patients experience excellent improvement in breathing and function with proper post-op care.