Complex Airway Reconstruction Program

Complex airway disorders can affect your larynx (voice box), trachea (windpipe) or pharynx (back of the mouth and nose). If you suffer from a complex airway disorder, you may have trouble with activities such as speaking and even breathing comfortably.

Our specialists in the Complex Airway Reconstruction Program have the expertise to accurately evaluate, diagnose and treat a wide array of complex airway disorders. Our comprehensive team works with you to develop a personalized care plan, so you can swallow, speak and breathe with ease.

Complex Airway Reconstruction: Why Choose Vanderbilt

  • Highly skilled surgical team. Complex airway problems require highly skilled surgeons with a depth of experience treating these conditions. Our surgeons use advanced technology and techniques to rebuild your larynx and trachea. They are uniquely trained to perform minimally invasive (endoscopic) procedures and open reconstructive surgery.
  • Collaborative care. Our team of specialists works closely with other experts at Vanderbilt to make sure you receive the care you need, from start to finish. For example, our surgical team can perform complex surgeries to repair a nerve in your larynx, then refer you to one of our voice specialists in the Voice Center to rehabilitate your voice. A dedicated patient care coordinator will support and guide you through your entire treatment and recovery process.
  • High volume of procedures. In 2018, our team performed more than 450 adult and pediatric procedures to treat laryngeal (voice box) and tracheal (windpipe) conditions. As one of the busiest complex airway reconstruction programs in the nation, our high volume of procedures translates into expert care for you.
  • Expert second opinions. We provide second opinions to help you make more informed and confident decisions. Our informed opinion takes your medical history, tests, treatments and personal preferences into account. To learn more about a second opinion, call (615) 343-0540.
  • Innovative research. Vanderbilt is an international leader in the study of complex airway disorders. Our research team collaborates with surgeons across the world to pioneer new surgical treatments. You benefit because our team can then offer those advanced treatments as possible options to you.

Conditions We Treat

  • Bronchial stenosis
  • Granulomatosis with polyangiitis (Wegener’s granulomatosis)
  • Laryngeal stenosis (vocal cord paralysis)
  • Laryngomalacia
  • Laryngotracheal clefts             
  • Other autoimmune diseases
  • Relapsing polychondritis
  • Subglottic stenosis
  • Tracheal stenosis
  • Tracheobronchomalacia

Diagnostic Tests

  • Endoscopy
  • Pathology and other laboratory tests
  • High-resolution scans
  • Swallowing and function tests

Treatments We Offer

  • Endoscopic dilation
  • Endoscopic resection (Maddern procedure)
  • Vocal cord lateralization
  • Supraglottoplasty
  • Cricotracheal resection
  • Laryngotracheal reconstruction
  • Routine tracheostomy care
  • Slide tracheoplasty
  • Tracheal resection
  • Vocal cord (recurrent laryngeal nerve) reinnervation
  • Vocal cord medialization
  • Laryngeal microsurgery


Vanderbilt Voice Center
Medical Center East, South Tower
1215 21st Ave., S., Suite 7302
Nashville, TN 37232
Map and Directions

Vanderbilt Children’s Complex AeroDigestive Evaluation Team (CADET)
Doctors' Office Tower, 10th Floor
2200 Children's Way
Nashville, TN 37232
Map and Directions

Complex Airway Reconstruction Care Team

For Referring Physicians

To refer a patient to the Complex Airway Reconstruction team, call (615) 343-0540.