Hi @brookssh, my husband suffers from idiopathic subglottic stenosis. Long story short, in May 2016, Dr. Hillel at Johns Hopkins performed a new(er) procedure on him after the initial traditional treatments failed. It’s a tracheal resection and he used a skin graft from my husband’s thigh to replace the removed area. Hubby is a new man! He has gone back a couple of times since to have scar tissue lasered out (I call it getting roto-rootered), but other than that, his breathing is fantastic! He still struggles with the cough and phlegm, but nothing even CLOSE to how bad he used to be. If you have the opportunity, check out Dr. Hillel – he is phenomenal!