Laryngotracheal stenosis develops when scar tissue forms in the trachea and, rarely, in the larynx itself. Symptoms depend on the degree of airway obstruction and can range from asymptomatic to upper airway obstruction severe enough to cause death. We report on 21 patients who underwent tracheal resection for severe stenosis. Resection remains a good option in this situation, and there is a minimal need for specialised postoperative care or intensive care unit admission in the majority of cases.