The diagnosis of laryngotracheal stenosis should be suspected in child
ren with strider, feeding difficulties, or atypical croup. Only half o
f the children with congenital laryngotracheal stenosis require trache
otomy, and many of these children can be decannulated following uncomp
licated surgical therapy. In contrast, tracheotomy-dependent patients
with acquired laryngotracheal stenosis require more extensive surgical
intervention, which should be carried out as early as possible to pro
vide the best opportunity for developing normal oral communication.