Mid-membranous Vocal Fold Webs: Case Series

J Voice. 2017 May;31(3):381.e1-381.e3. doi: 10.1016/j.jvoice.2016.06.013. Epub 2016 Jul 12.

Abstract

Introduction: Laryngeal webs are a rare clinical entity, with those in the mid-membranous region occurring even less commonly. This is the first case series describing this condition.

Case report: We describe the clinical course of four patients with mid-glottic webs and propose the possible pathophysiology.

Discussion: Trauma to the vocal folds followed by an inflammatory reaction is the likely event leading to the development of this lesion. Endoscopic division of this type of web has shown good postoperative voice outcomes without any recurrences.

Conclusion: The mid-glottic web is a rare clinical entity for which there is no defined etiology. It is likely that trauma results in an inflammatory reaction and, ultimately, web formation. Further studies are needed to identify risk factors for this condition.

Keywords: dysphonia; glottic web; laryngeal web; mid-glottic web; mid-membranous vocal fold lesion.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Dysphonia* / etiology
  • Dysphonia* / pathology
  • Dysphonia* / physiopathology
  • Dysphonia* / therapy
  • Female
  • Humans
  • Laryngeal Diseases* / etiology
  • Laryngeal Diseases* / pathology
  • Laryngeal Diseases* / physiopathology
  • Laryngeal Diseases* / therapy
  • Laryngoscopy
  • Male
  • Middle Aged
  • Recovery of Function
  • Treatment Outcome
  • Vocal Cords* / pathology
  • Vocal Cords* / physiopathology
  • Voice Quality