Endoscopic posterior cricoid split with rib grafting.

Bilateral vocal fold immobility (BVFI) can be divided into bilateral vocal fold paralysis and cricoarytenoid joint fixation, which can be accompanied with laryngeal stenosis. In children with BVFI, requiring a tracheostomy, the authors preference, to achieve decannulation, is to perform an endoscopic posterior cricoid split with rib grafting after the age of 1.