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grade 3 subglottic stenosis

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We recently had a Nicu gratuate who had laryngomalacia presenting with severe stridor. He had GERD in neonatal period and he didn't ventilation. Now ,Since he was desaturaing and in resp. failure he was ventilated and trasferred to the nearby bigger city. He was found to have grade 3 subglottic stenosis. Now he is 5 months old but the consultant pediatrician did not have willing ENT to do tracheaostomy.Meantime he needed reintubation . And the parent's decided to withdraw support.

What best could have been done for this Kid in a well resourced place?

Thanks for time,

selvan.r

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