[Diagnosis and treatment of laryngeal web in infants].
OBJECTIVE
To summarize the clinical manifestation, operative method and therapeutic effect of various type of laryngeal web in infants.


METHODS
The clinical data of 12 cases were analyzed, 5 cases of which were congenital laryngeal web (4 cases, glottic type; 1 case, subglottic type), 7 cases of which were secondary laryngeal web (1 case, tuberculous laryngeal web; 6 cases, traumatic laryngeal web). Diagnosis was mainly depended on history and clinical manifestation. Final diagnosis was depended on fibrolaryngoscope and pathological report. Microlaryngoscopic surgery was the main operative method. However, specific infection should be cured before operation.


RESULTS
During 3-18 months follow-up, 4 glottic laryngeal webs were cured. One subglottic laryngeal web case well recovered and secondary surgery is not needed at least recently. One tuberculous laryngeal web was followed up for 6 months, no vocal adhesion was observed. During 3-6 months follow-up, 1 traumatic laryngeal web was cred, while the other 6 cases need secondary surgery.


CONCLUSIONS
Final diagnosis of congenital laryngeal web is mainly depended on fibrolaryngoscope. And prognosis of it is well. Laryngeal web induced by specific infection should be cured specific infection before operation. The prevention is the key for traumatic laryngeal web because the surgery outcome is not satisfactory.
Liu
Da-bo
DB
Department of Otorhinolaryngology, Guangzhou Children's Hospital, China. daboliu@126.com
Luo
Ren-zhong
RZ
Zhong
Jian-wen
JW
Huang
Zhen-yun
ZY
Chen
Qian
Q
Zhou
Li-feng
LF