About Laryngotracheal Reconstruction
Key Highlights
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Restores a stable, functional airway for improved breathing.Can eliminate or reduce dependence on a tracheostomy tube.Aims to preserve and improve voice quality and function.Addresses complex airway narrowing not treatable with less invasive methods.Often uses the patient's own tissue (autograft) for reconstruction, reducing rejection risk.
Who is this surgery for?
- Severe laryngotracheal stenosis (narrowing) causing breathing difficulty.
- Airway obstruction following prolonged intubation or tracheostomy.
- Congenital subglottic or tracheal stenosis in children and adults.
- Airway damage from external trauma, burns, or infections.
- Failed previous airway surgeries requiring revision.
- Neck tumors or growths that have invaded or compressed the airway.
How to prepare
- Comprehensive evaluation including endoscopic airway examination (laryngoscopy/bronchoscopy).
- Imaging studies like CT scans to map the exact location and extent of stenosis.
- Pre-operative pulmonary function tests to assess breathing capacity.
- Discussion of anesthesia risks and the surgical plan with the ENT surgeon and anesthesiologist.
- Pre-operative blood tests and a general health check-up.
- Fasting as instructed (typically 8-12 hours before surgery).
- Arranging for post-operative care and support during recovery.
Risks & possible complications
- Bleeding, infection, or adverse reaction to anesthesia.
- Graft failure, displacement, or resorption.
- Persistent airway narrowing or restenosis requiring further procedures.
- Voice changes, including hoarseness or weakness.
- Injury to nearby structures like nerves (affecting vocal cords), blood vessels, or the esophagus.
- Air leak, pneumothorax (collapsed lung), or subcutaneous emphysema.
- Scarring at the surgical or graft donor site.
- Need for a temporary or permanent tracheostomy.
Recovery & hospital stay
- Initial recovery in the hospital ICU or step-down unit for close airway monitoring.
- A temporary tracheostomy or breathing tube (stent) may be in place initially.
- Strict head elevation and neck immobilization to protect the reconstruction.
- Pain management with prescribed medications.
- Initially, nutrition may be provided via a feeding tube.
- Gradual reintroduction of speech and swallowing under therapist guidance.
- Follow-up endoscopic procedures to monitor healing and remove stents.
- Avoidance of strenuous activity, heavy lifting, and contact sports for several weeks.
- Regular follow-up visits with the ENT surgeon for long-term airway assessment.
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Typical hospital stay: 7-14 days
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Expected recovery time: 6-12 weeks for initial recovery; full healing may take 6-12 months
Frequently Asked Questions
If you are considering laryngotracheal reconstruction in India, these questions and answers can help you make a confident, informed decision.
Popular choices for laryngotracheal reconstruction in India include Manipal Hospital Dwarka, Manipal Hospital Jayanagar, Manipal Hospital Malleshwaram, Manipal Hospital Hebbal, Manipal Hospital Hebbal, KMC Hospital Mangalore, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform laryngotracheal reconstruction. MediFyr helps you compare ent specialists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for laryngotracheal reconstruction compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 250 Thousand – 800 Thousand | 7-14 days | ~ 6-12 weeks for initial recovery; full healing may take 6-12 months | Know More |
| Turkey | TRY 875 Thousand – 2.8 Million | 7-14 days | ~ 6-12 weeks for initial recovery; full healing may take 6-12 months | Know More |
Top hospitals for Laryngotracheal Reconstruction in India
These partner hospitals in India have dedicated ent teams and experience managing patients undergoing laryngotracheal reconstruction.
Vihaan Verma, a 28-year-old software engineer...
Vihaan Verma, a 28-year-old software engineer and amateur singer, had suffered from worsening shortness of breath and a weak, raspy voice for over a year following a severe car accident that damaged his windpipe. He struggled to speak in meetings and could no longer sing, which was his primary emotional outlet. After multiple failed attempts at less invasive procedures, his ENT surgeon recommended a laryngotracheal reconstruction (LTR) to rebuild his narrowed airway using a cartilage graft from his rib. The surgery was complex and required a week in the ICU with a temporary tracheostomy tube. The initial recovery was difficult; Vihaan felt frustrated and isolated by his inability to speak. However, after months of dedicated voice therapy, his airway opened significantly. His breathing became effortless, and his voice, while deeper, returned with surprising strength. The emotional journey was profound, from grieving the loss of his singing voice and fearing permanent disability to rediscovering his confidence and even joining a community choir, celebrating a new chapter with profound gratitude.
ENT Specialists for Laryngotracheal Reconstruction
Explore experienced ent specialists who regularly perform laryngotracheal reconstruction and provide pre- and post-operative care in India.
- 16 Years Experience
- ENT Specialist
Miot Hospital Chennai, Chennai
- 21 Years Experience
- ENT Specialist
Manipal Hospital Yeshwanthpur, Bangalore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- ENT Specialist
- 26 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 21 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 18 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 43 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 38 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 36 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 29 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 19 Years Experience
- ENT Specialist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- ENT Specialist
Manipal Hospital Kharadi, Pune
- 26 Years Experience
- ENT Specialist
Manipal Hospital Jayanagar, Bangalore