[The treatment of combined cicatrical stenoses of the larynx and trachea].

The objective of the present study was to analyse the causes behind formation of combined laryngothracheal stenoses and the factors contributing to their development. The secondary objective was to determine the main classification characteristics of cicatrical stenoses of the larynx and trachea, and to estimate the effectiveness of their treatment by a combined reconstructive surgical technique. Analysis of outcomes of the surgical treatment of 19 patients with combined cicatrical stenoses of the larynx and trachea of different etiology for the period from 2005 to 2011 is presented. The sequence of simultaneous laser-assisted surgical reconstruction of the airway lumen in the patients with laryngotracheal stenosis during direct microlaryngoscopy by means of external approach and subsequent stenting with a T-shaped silicone tube is described. It is concluded that reconstruction of the airway lumen with the help of step by step surgery and subsequent stenting with the revision of the affected section is the most efficacious method for the treatment of the patients to whom circular resection of the stenotic site is contraindicated; it allows the tracheal lumen to be reconstructed in 94.7% of the patients.