LAUSR

The patient is a 64-year-old woman with post intubation tracheal stenosis. Three years prior to presentation, she had undergone craniotomy for a meningioma and developed postoperative respiratory failure requiring prolonged intubation and tracheostomy. She made a full neurologic recovery and was decannulated from her tracheostomy. Several months later, she developed stridor and shortness of breath and was diagnosed with stenosis at the site of her prior tracheal stoma. She underwent tracheal dilation and laser treatment with modest improvement in her symptoms but overall, she remained limited by her breathing. As part of her preoperative planning she lost 25 kg. She also underwent direct laryngoscopy and was found to have normal vocal cord function. She was then brought to the operating room for bronchoscopy followed by tracheal resection and reconstruction.