What is a Double-Stage Laryngotracheal Reconstruction/ Laryngotracheoplasty (DSLTR/DSLTP) or Staged Laryngotracheal Reconstruction?
DSLTR is a surgery in which the airway is made larger by placing a graft in a part of the airway that is too narrow. Most grafts are made of ear cartilage, thyroid cartilage or rib cartilage. The ENT (ear, nose and throat) doctor will decide what type of graft is best for your child. The ENT doctor will decide where the graft needs to be placed: in the front of the airway (anterior), the back of the airway (posterior), or both, to make the airway larger.
“Double-stage” refers to the number of steps in the reconstruction. The first stage involves the rebuilding of the airway. If your child has a tracheotomy tube (trach), it will remain in place after the surgery, unlike in single stage laryngotracheal reconstruction (SSLTR/SSLTP) where the trach is removed during surgery. The second stage involves removing the stent and working toward getting your child’s trach out.



