Abstract
Idiopathic laryngeo-tracheal stenosis (ILTS) is characterized by the formation of a scar-like circumferential stenosis affecting the subglottic area and extending to a variable length in the upper trachea. We report an illustrative case of ILTS in a 33 years old lady who presented with progressive dyspnea and stridor and was managed as bronchial asthma for the prior 2 years. Her bronchoscopic and radiologic imaging revealed extensively narrowed subglottic segment 5 mm below the vocal cords that extended into the upper trachea. Definitive laryngeo-tracheal resection and reconstruction (Pearson's repair) was performed with a satisfactory result. She remained free of symptomatic and radiologic recurrence over 4 years of follow up.
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