The literature of laryngeal stenosis is so burdened by the premature reports of cases that I have waited for the lapse of time to prove the permanency of what I believe to be an ideal operation for the cure of that form of stenosis associated with bilateral recurrent paralysis when the stenosis is due solely to the paralysis. In these cases, tracheotomy has usually been already performed for urgent dyspnea and the patient comes to the laryngologist for decannulation.
PREVIOUSLY DEVISED OPERATIONS
The ideal operation would, of course, be the reestablishment of nerve continuity by resection and anastomosis, with or without transplantation. Obviously, this procedure would be limited to peripheral cervical lesions. It would be impracticable in laryngeal paralysis due to central or the usual mediastinal lesions. It has been done with an excellent result in a case of monolateral paralysis by J. Shelton Horsley and Clifton M. Miller.1