aims: the incidence of subglottic stenosis is increasing, and with this, resection and laryngotracheal reconstruction surgeries have increased. Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) allows apneic oxygenation and ventilation to be achieved using a high-flow nasal cannula. This technique delivers the advantage of providing a non-obstructive surgical field that allows for laryngotracheal reconstruction without airway devices affecting visibility or mobilization. The objective of this study is to