Abstract
Cartilaginous rib graft interposition and Evans-Todd laryngotracheoplasties were compared in 21 patients with similar degrees of subglottic stenosis. The ultimate success of the repair was similar, but complications were more frequent with the Evans-Todd laryngotracheoplasty. Stent removal and decannulation were accomplished earlier with the cartilage graft laryngotracheoplasty--an average of 21 days to decannulation after stent removal versus 66 days for the Evans-Todd procedure. Granulation tissue was almost universal in the Evans-Todd procedure, and accounted for the long decannulation time. This retrospective study is used as a basis to discuss the relative merits of the two procedures.
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