Open laryngotracheal reconstruction for iatrogenic posterior glottic stenosis in adults
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This multicenter study evaluated 43 adults with acquired posterior glottic stenosis who underwent open laryngotracheal reconstruction (LTR) using autologous or cadaveric rib grafts. Decannulation was successful in 76.7%, but 53.5% required further interventions. Severe obesity, high comorbidity, and chronic kidney disease negatively impacted decannulation and intervention-free survival. LTR improved breathing outcomes with minimal complications in selected patients.