title: Endolaryngeal posterior mucosal flap for surgical repair of posterior glottic stenosis.
abstract: OBJECTIVE
  We report our experience with an endolaryngeal surgical procedure for posterior glottic stenosis with review of the literature.
  
  
  METHODS
  Four patients with posterior glottic stenosis underwent endoscopic reconstruction of the posterior glottis applying an endolaryngeal posterior mucosal flap. Laryngeal function (i.e., voice and airway patency) before and after surgery was assessed.
  
  
  RESULTS
  One out of four patients has been tracheostomy-dependent prior to laryngeal surgery. After endolaryngeal surgery, no primary wound healing disorders could be observed in all patients. Aspiration problems occurred in none of the patients. In three of the four patients, the mucosal flap was completely successful. In one patient, the mucosal flap was only partially successful (improvement of voice, but no improvement of airway patency).
  
  
  CONCLUSIONS
  We believe that the endolaryngeal posterior mucosal flap may offer an additional option in patients with mild to moderate posterior glottic stenosis.
authors.affiliation: Department of Otorhinolaryngology, Straubing Hospital, Straubing, Germany.
authors.forename: Marzell
authors.initials: M
authors.lastname: Semmler
authors.forename: Tilman
authors.initials: T
authors.lastname: Keck
authors.forename: Rudi
authors.initials: R
authors.lastname: Reiter
authors.forename: Philipp M
authors.initials: PM
authors.lastname: Gruen
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D007828:Laryngoscopy; D007829:Laryngostenosis / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D007830:Larynx / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009092:Mucous Membrane / Q000601:surgery*; D012123:Pulmonary Ventilation; D012720:Severity of Illness Index; D013524:Surgical Flaps; D016896:Treatment Outcome; D014831:Voice