Charous SJ, et al. - Researchers sought to present a novel, low-cost, and easy-to-perform technique to secure silicone stents and prevent migration for management of subglottic stenosis. A silicone stent is introduced in a standard fashion following standard excision and dilation of stenotic portions in the subglottic or trachea. Insertion of an 18-G needle loaded with braided suture through skin, trachea, and stent was done to secure the stent. Then the surgeon could grasp the suture with forceps under endoscopic visualization. An airtight suctioning tool is created via performing a separate transcutaneous puncture site with an 18-G needle attached to a 10-cc syringe (plunger removed) and blue tip suction within the empty syringe. The grasped suture is gently introduced into the eye of the needle and quickly travels into the 10-cc syringe with suction assist, leaving both extracorporeal ends of the suture to tie. On four patients, this stitch has been used on seven occasions. No episodes of stent migration were evident. The 18-G needle and braided 3-0 suture performed optimally in a laboratory model.