A 28 year old female presents to the casualty with gradually

A 28 year old female presents to the casualty with gradually increasing respiratory distress since 4 days. She gives history of hospitalization and mechanical ventilation with orotracheal intubation for 2 weeks. Now, she was diagnosed as having severe tracheal stenosis. The next line of management is


a) tracheal resection and end to end anastomosis  
b) tracheal dilatation  
c) systemic steroids                  
d)laser excision and stent insertion


Ans (d)