Posterior glottic stenosis and bilateral vocal fold immobility cause obstru
ction of the airway at the glottis. Presentation of this problem may vary a
ccording to the cause. Full evaluation of the status of the larynx is cruci
al with regard to the mobility of the arytenoid cartilage and innervation o
f the laryngeal musculature. There are many techniques for surgically treat
ing this condition, each with advantages and disadvantages. The surgeon sho
uld be familiar with a variety of these procedures and be able to adapt to
each patient's situation.