staged laryngotracheoplasty in adult laryngotracheal stenosis predictors of longterm decannulation importance this study reviews a single centers experience of performing staged laryngotracheoplasty ltp for the treatment of laryngotracheal stenosis with the ultimate goal of attaining longterm airway patency without restenosisobjective to identify staged ltp as an efficacious surgical treatment option for laryngotracheal stenosisdesign setting and participants from january 2000 to january 2012 patients at a tertiary care academic institution presenting with diagnoses of laryngeal or laryngotracheal stenosis were retrospectively identified medical records from adult patients were inspected and patient demographics clinical data and clinical outcomes were recorded all patients undergoing staged ltp were initially included patients with history of head and neck malignant neoplasm were excludedinterventions staged ltpmain outcomes and measures the primary outcome was longterm decannulation defined as decannulation for duration of at least 6 monthsresults sixtyone patients were included in this study the mean sd patient age was 471 167 at the time of firststage ltp and had a mean range followup of 532 05173 years from the firststage reconstruction etiology of stenosis included prolonged intubation in 27 patients 44 autoimmune disease in 9 15 idiopathic causes in 11 18 blunt laryngeal trauma in 10 16 and other causes in 4 7 fortynine patients 80 were successfully decannulated while to date 12 20 remain tracheostomy or tympanostomy tube dependent univariate analyses showed no significant association between decannulation and age p35 sex p52 history of intubation p22 surgeon p20 etiology of stenosis p91 or length of stenosis p31 multivariate logistic regression analysis showed a significant inverse relationship between grade of stenosis and probability of decannulation p01conclusions and relevance staged ltp is an option for the reconstruction laryngotracheal stenosis our experience shows excellent decannulation rates in the selected patients with stenosis many of whom have failed treatment with other surgical modalities