Two cases of congenital tracheal stenosis were managed conservatively
despite mild to moderate initial respiratory symptomatology in infancy
. Serial CT examinations were performed on each child, with tracheal d
imensions and cross-sectional areas measured in the region of stenosis
at each CT examination. The examinations document increases in trache
al cross-sectional area in the region of stenosis over time, confirmin
g tracheal cartilage growth. We present these data to dispel the hypot
hesis that tracheal growth does not occur in complete-ring tracheal st
enosis. The selection of cases for surgical repair must be considered
with the knowledge that this anomaly does not carry an inevitably poor
prognosis.