Abstract
One month after a heart operation, a 7-year-old girl suffered pneamonia, necessitating a tracheotomy. Another month later an attempt at decannulation failed and instead a nasotracheal tube was inserted. During following six weeks attempts to remove the tube were unsuccessful. Three months following the original tracheotomy a second tracheotomy was performed. Again attempts to decannulate the trachea failed despite removal of the granulation tissue in the glottis with microlaryngosur-gery at two occasions. At a third operation the stenosis was found to be due to massive adhesion of the glottis. The adhesion was resected and a silicone T-tube was inserted into the site of the laryngeal stenosis. Four weeks later the T-tube was removed. The patient has remained free of respiratory distress for one year.
