This methodological recommendation presents modern approaches to the diagnosis of chronic laryngeal and cervical tracheal stenoses in children. It outlines the main diagnostic methods, including flexible laryngoscopy, computed tomography with 3D reconstruction and virtual laryngotracheoscopy, as well as the use of specialized imaging software (RADIANT). Particular attention is given to the role of endomicrolaryngoscopy performed during surgical procedures, which allows for detailed visualization and tactile assessment of tissues, thereby determining the optimal surgical strategy.

The diagnostic capabilities of each method are discussed, including their advantages, limitations, and specific applications depending on the patient's age and condition. The importance of a comprehensive approach is emphasized for accurate assessment of anatomical and functional changes in the airway, enabling not only timely detection of pathology but also optimal planning of treatment strategies, including the choice of reconstruction techniques.

chronic stenosis, larynx, trachea, children, diagnosis, endoscopy, imaging, multidisciplinary approach.

Zalzal G.H., Cotton R.T. Subglottic stenosis in infants and children: the clinical spectrum and treatment options. Otolaryngol Clin North Am. 1995;28(5):873–882.

Smith M.E., Elstad M. Diagnosis and management of pediatric airway stenosis. Semin Pediatr Surg. 2016;25(3):138–143.

Schweiger C., Manica D., Becker C.G., Kuhl G. Management of subglottic stenosis in children: clinical and endoscopic findings. Int J Pediatr Otorhinolaryngol. 2012;76(9):1252–1257.

Walner D.L., Loewen M.S., Kimura R.E. Postintubation subglottic stenosis in neonates and infants: risk factors and outcome. Laryngoscope. 2001;111(1):48–53.

Hartnick C.J., Hartley B.E., Lacy P.D., Liu J., Willging J.P., Cotton R.T. Pediatric airway stenosis: endoscopic techniques and results. Ann Otol Rhinol Laryngol. 2001;110(12):1109–1113.

Schweiger C., Manica D., Carvalho P.R. Computed tomography and virtual bronchoscopy in the evaluation of pediatric tracheal stenosis. Pediatr Radiol. 2014;44(9):1084–1092.

Boogaard R., Huijsmans S.H., Pijnenburg M.W., Tiddens H.A., de Jongste J.C., Merkus P.J. Tracheomalacia and bronchomalacia in children: incidence and patient characteristics. Chest. 2005;128(5):3391–3397.

Bent J.P., Shah M.B., Maddalozzo J. Virtual bronchoscopy for evaluation of pediatric airway disorders. Arch Otolaryngol Head Neck Surg. 2002;128(7):831–835.

Holinger L.D. Etiology of laryngeal and tracheal stenosis in infants and children. Ann Otol Rhinol Laryngol. 1980;89(5):397–400.

Benjamin B., Parsons D.S. Diagnosis and management of subglottic stenosis in children. Curr Opin Otolaryngol Head Neck Surg. 2006;14(6):438–443.