The treatment of subglottic stenosis in children is one of the most complex and difficult challenges in the field of pediatric otolaryngology. Therefore, it requires a team approach that includes an anesthesiologist, a pediatrician, and an intensivist. This article introduces the latest concepts in the treatment of subglottic stenosis and glottal stenosis (glottal softening, glottal cysts, etc.) in children, with particular attention to reports obtained over the years abroad. In order to avoid problems around the peritracheal foramen, a single-stage approach that avoids tracheostomy has recently become the mainstream approach. However, the inability to secure the airway is life-threatening for children, and tracheostomy is also an important method of safety management. The accumulation of further airway surgery results in the future is expected to allow for safer and better treatment strategies.
