CT scan CT scan is not as helpful as MRI because its views generally are only in the axial plane. However, flow-volume loops may be helpful in monitoring for restenosis after intervention. Videostrobolaryngoscopy is extremely helpful in evaluating the glottic and supraglottic larynx for possible concomitant injury. Open Repair Open repair is indicated following failure of the endoscopic approach when extent of stenosis is severe or factors are unfavorable for this approach. Choose the specific technique based on length of resection, need for cartilage, and need for mucosal coverage.
Stent placement is required in some procedures.
Use imaging and endoscopic investigation. Begin antireflux management approximately 1 month prior to repair. Tracheostomy care Open Approach Admit patient into an ICU setting. Administer antibiotics appropriate to the surgical repair and wound bed. Some advocate suppression antibiotics when a stent is used.