Acquired subglottic stenosis in neonates is related to an inconsistent cascade of events that causes 1- 8% of infants to develop the condition after prolonged intubation. The management of subglottic stenosis (SGS) in children continues to be a challenging problem for the otolaryngologist. Aim of the study: To present results of the use of balloon catheter dilatation (BCD) as a method of establishing control of the compromised airway and as a definitive alternative to open surgery in infants with acquired subglottic stenosis (SGS). Patients and methods : A total of 14 patients (6 girls and 8 boys), with a mean age of 8.78 months (range, 3-18 months). All 14 patients presented with biphasic stridor, and 8 had significant retractions noted on examination. In all patients, management of the compromised airway was established with balloon catheter dilatation (BCD) followed by intubation. Main Outcome Measures: were defined by postoperative symptomatology, endoscopic grading of residual SGS, complications, and the need for subsequent interventions to manage SGS. Results: Eight patients were completely asymptomatic after the initial (BCD). An additional 3 patients had recurrent stridor during the postoperative period and required a second (BCD) before having complete, persistent resolution of symptoms. (BCD) failed in 3 patients, of whom 2 went on to undergo singlestaged laryngotracheal reconstruction and 1 required a tracheotomy. Conclusions: Balloon catheter dilatation (BCD) is a safe means of establishing the airway in infants with obstruction due to acquired SGS. It was an effective, stand-alone procedure for the management of SGS in 11 of our 14 patients, obviating the need for tracheotomy or cricoid split. ♠Assistant professor ENT Benha faculty of medicine.