Children with subglottic stenosis present a challenging problem to oto
laryngologists. In many cases, a tracheostomy is necessary to safeguar
d the airway, but morbidity and mortality in the tracheostomized child
may be significant. Therefore attempts to improve the airway by endos
copic means are often made; unfortunately, these have a variable succe
ss rate. Recent encouraging results in the use of balloon dilatation f
or subglottic stenosis led us to the successful use of this technique
in a child whose stenosis had not responded to conventional endoscopic
techniques. The reasons for the success are discussed.