Revision in “Shiann Yann Lee” Technique: End of the Road?

Abstract

In India, majority of patients of laryngotracheal stenosis come with a typical history of prolonged intubation, which in many is preceded by organophosphorus poisoning. Shiann Yaan Lee's technique of T-tube insertion is one of the many tested modalities to manage even complex cases of laryngotracheal stenosis. Though it may be successful in establishing a patent airway, it does not address the possibilities of future complications and their management options in our opinion.We would like to share our experience regarding a case of life-threatening recurrent laryngotracheal stenosis following initial management by this technique, so that the readers can keep in mind the future prospects in case of recurrence of the stenosis, before attempting this technique in their patients.Revision airway surgery following Shiann Yaan Lee's technique is rightly labeled as "end of the road" according to us.