Abstract
An 18 year-old male was admitted to the authors' hospital for the treatment of a difficulty in decannulation for 16 years after tracheostomy, which had been made for a subglottic stenosis due to congenital malformation of the laryngeal cartilage.
The stenosis was removed by laryngofissure, and a “trough” was made in the operated area by using a silicone T-tube as a stent. Seven months postoperatively, transplantation of a composite graft of the nasal septum was made to cover the anterior defect of the subglottic airway. Reconstriction of the airway has not been observed for seven months after the second operation.
