Glottic stenosis.
Glottic stenosis is a fixed, focal narrowing at the level of the laryngeal inlet, the true vocal cords. It may be either congenital or acquired and be related to a wide range of etiologies. The stenosis may be either anterior, posterior, or in rare cases, complete. Isolated glottic stenosis is rare; lesions often involve adjacent regions, namely the subglottis. A diagnosis is made from careful history and examination, including evaluation by microlaryngoscopy and bronchoscopy. The management of glottic stenosis is challenging and should be tailored to each individual case. A secure and adequate airway is the treatment priority alongside optimization of voice and laryngeal competence. Endoscopic and open techniques in either single or multiple stages have been described.
Department of Otolaryngology, Great Ormond Street Hospital for Children, London WC1N3JH UK.
Kate A
KA
Stephenson
Department of Otolaryngology, Great Ormond Street Hospital for Children, London WC1N3JH UK. Electronic address: michelle.wyatt@gosh.nhs.uk.
Michelle E
ME
Wyatt
D058109:Airway Management / Q000379:methods; D001999:Bronchoscopy; D003131:Combined Modality Therapy; D006801:Humans; D007828:Laryngoscopy; D007829:Laryngostenosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D015607:Stents
Glottic; Laryngeal; Pediatric; Stenosis; Web