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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 25-year-old female presented with gradually increasing respiratory distress since 4 days. She gives history of hospitalisation and mechanical ventilation with orotracheal intubation for 2 weeks. Now she is diagnosed as having severe laryngotracheal stenosis. Next step in the management is:
assistant
The correct answer is  (d) Resection and end to end anastomosis(Ref. Current Diagnosis & Treatment Otolaryngology, Lalwani, 3rd ed., 487)Prolonged intubation has resulted in subglottic stenosis. Since it is severe, resection and end to end anastomosis is the treatment of choice. Steroids have no role.LASER excision and tracheal dilation are considered in mild subglottic stenosis.