Mayo Clinic's approach


Many conditions can affect breathing, voice and swallowing. Mayo Clinic specialists in ear, nose and throat (ENT), pulmonary medicine, digestive diseases, sleep medicine and other areas work together to evaluate all aspects of the condition, recommend a solution, and begin treatment in a timely and coordinated way. Surgery is done by a team of experienced staff surgeons.


Mayo Clinic is one of a handful of medical centers in the United States with significant experience performing laryngotracheal reconstruction surgery in children. Mayo Clinic also performs the procedure in adults.

Advanced technology

Mayo Clinic offers leading-edge voice and swallowing exams to evaluate breathing and related problems and minimally invasive endoscopic treatment options.

Proven success

Often your child can be weaned from tracheostomy tubes (decannulation) after a single operation.

Child centered

Mayo Clinic's Department of Pediatric and Adolescent Medicine provides care in a comfortable and caring environment specifically designed for the needs of children and partners with you and your child in treatment and recovery.

Genetic counseling

Mayo Clinic has successfully treated children with Down syndrome and other genetic disorders who are at risk of airway problems. Mayo Clinic's Department of Medical Genetics can help identify conditions or syndromes that may affect surgery, the outcome of surgery and the long-term prognosis for your child.

Comprehensive follow-up care

The Mayo Clinic care team closely monitors post-surgery healing and offers many services to assist your or your child's recovery, including speech and language pathologists who help with speaking and swallowing.

The Mayo Clinic experience and patient stories

Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care like they've never experienced. See the stories of satisfied Mayo Clinic patients.

Expertise and rankings

The Aerodigestive Clinic at Mayo Clinic's Children's Center provides multispecialty coordinated care for children with airway disorders, serving as a national and international referral center for complex airway reconstruction procedures.

The Department of Otorhinolayryngology (ear, nose and throat or ENT) at Mayo Clinic provides a full range of medical and surgical services for pediatric and adult patients with head and neck disorders and diseases, including the most complex airway, voice and swallowing disorders.

Mayo Clinic in Rochester, Minnesota, and Mayo Clinic in Phoenix/Scottsdale, Arizona, are ranked among the Best Hospitals for ear, nose and throat by U.S. News & World Report.

Learn more about Mayo Clinic's Department of Otorhinolaryngology and the Aerodigestive Clinic at Mayo Clinic's Children's Center.

Mayo Clinic Children's Center

Highly skilled pediatric experts diagnose and treat all types of conditions in children. As a team, we work together to find answers, set goals and develop a treatment plan tailored to your child's needs.

Learn more about the Children's Center.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

More information about billing and insurance:

Mayo Clinic in Arizona, Florida and Minnesota

Mayo Clinic Health System

July 30, 2020
  1. Lalwani AK. Stridor in children. In: Current Diagnosis & Treatment in Otolaryngology--Head & Neck Surgery. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. Accessed Jan. 7, 2016.
  2. Zeeshan A, et al. Laryngotracheal resection and reconstruction. Thoracic Surgery Clinics. 2014;24:67. Review.
  3. Tawfik KO, et al. Laryngotracheal reconstruction: A ten-year review of risk factors for decannulation failure. Laryngoscope. 2015;125:674.
  4. Raol N, et al. Comparison of hybrid laryngotracheal reconstruction to traditional single- and double-stage laryngotracheal reconstruction. Otolaryngology – Head and Neck Surgery. 2015;152:524.
  5. Flint PW, et al. Glottic and subglottic stenosis. In: Cummings Otolaryngology: Head & Neck Surgery. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. Accessed Jan. 13, 2016.
  6. Sidell DR, et al. Surgical management of posterior glottic diastasis in children. Annals of Otology, Rhinology, and Laryngology. 2015;124:72.
  7. Balakrishnan K. (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 15, 2016.

Laryngotracheal reconstruction