The anterior laryngeal webs

Otolaryngol Clin North Am. 2008 Oct;41(5):877-88, viii. doi: 10.1016/j.otc.2008.04.008.

Abstract

Anterior laryngeal webs can be congenital or acquired and occur secondary to a surgical procedure, intubation, or infection. Clinical presentation can include vocal and respiratory symptoms. The first step in managing a laryngeal web is performing flexible laryngoscopy, followed by a direct laryngoscopy under general anesthesia. Treatment remains a challenge. Endoscopically, the web can be incised with cold instruments or by laser, mitomycin-C can be applied, and a silastic keel can be inserted in the anterior commissure. Externally, an anterior cricothyrotomy is necessary and a silastic keel can be placed; anterior cartilage graft can be inserted in case of a thick web. Regardless of the technique used, the primary concern is recurrence.

Publication types

  • Review

MeSH terms

  • Child
  • Endoscopy
  • Fibrosis
  • Humans
  • Infant
  • Laryngostenosis / diagnosis
  • Laryngostenosis / etiology*
  • Laryngostenosis / surgery*
  • Larynx / abnormalities*
  • Severity of Illness Index