The anterior laryngeal webs.
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.
Nicollas
R
R
Department of Pediatric Otolaryngology Head and Neck Surgery, La Timone Children's Hospital, Marseille cedex 5, France. richard.nicollas@ap-hm.fr
Triglia
J M
JM
D002648:Child; D004724:Endoscopy; D005355:Fibrosis; D006801:Humans; D007223:Infant; D007829:Laryngostenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D007830:Larynx / Q000002:abnormalities*; D012720:Severity of Illness Index