Severe laryngotracheal stenosis in children is a problem of increasing incidence following the widespread adoption of prolonged endotracheal intubation for respiratory support. A variety of methods have been developed to solve the problem of extensive tracheal stenosis. Seven patients from 9 months to 14 years were treated from December 1992 to November 1994 with posterior cricoid split and hyoid bone graft. Stenting was performed in all cases with a Montgomery Silastic laryngeal stent during three weeks. All patients have been extubated.