A 12 year old boy intubated for severe respiratory distress failed six extubation trials and was found to have laryngomalacia on fiberoptic laryngoscopic examination. He underwent aryepiglottoplasty and suture of epiglottis to the base of the tongue with a lumber puncture needle and the technique previously described for the lateralization of vocal cord leading to successful extubation on fourth post-operative day. The patient was observed as in patient for one week after surgery and was followed up for six months as outpatient with complete recovery.

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