<p>Management of recurrent tracheal stenosis after previous airway surgery is challenging. Fibrosis resulting from the initial open surgery restricts the mobility of the remaining trachea. Since the trachea has been resected in the early surgery, to obtain tension free anastomosis after revision surgery is difficult. We discuss the surgical management of an 18-year-old male with history of trauma neck with prolonged ventilation and tracheostomy. He had undergone open surgery to restore the airway which did not yield desired results. Decannulation post restoration failed as it resulted in recurrence of stridor. On fibreoptic laryngeal examination bilateral cord were mobile and upper trachea examination revealed a complete stenosis at the level of the 4th costal cartilage down wards. Tracheostomy was in situ and flexible fibreoptic examination through the tracheostoma revealed complete obstruction of the trachea above the upper end of the stoma. Trachea below the tracheostoma was normal. He underwent revision trachea resection with end-to-end anastomosis. He has completed 1 year post surgery without signs of recurrence of the stenosis.</p>