SUMMARY:A 52-year-old man with burn injuries and prolonged intubation developed PGS with hoarseness, dyspnea, and bilateral vocal cord immobility. On CT, a calcified interarytenoid scar band was identified, corresponding to an interarytenoid scar on laryngoscopy. Endoscopic laser lysis of the calcified scar band relieved the symptoms. We present laryngoscopic and CT findings of PGS with interarytenoid calcification along with the postlysis findings. The classification, clinical findings, imaging, and management of PGS are reviewed.ABBREVIATIONS: PGS ϭ posterior glottic stenosis; VP ϭ vocal processes P GS is fixation of the larynx. Laryngoscopy reveals bilateral impaired vocal cord mobility in a median or paramedian position with limited glottic patency. It results from scarring of the mucosa of the interarytenoid region or the cricoarytenoid joints, usually secondary to intubation trauma.