A Small Absorbable Stent for Treatment of Anterior Glottic Web

Bhongmakapat, Thongchai; Kantapasuantara, Kanjalak; Praneevatakul, Phurich

doi:10.1016/j.jvoice.2011.01.010

Cited by 9 publications

(4 citation statements)

References 5 publications

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“…Many different surgical approaches were published for glottic web in an attempt to prevent reformation of web and obtain better voice. These techniques included mucosa graft from lower lip, buccal mucosa, silastic sheet to lateralize one vocal fold, silastic keel placement with Lichtenberger technique, endoscopic laser anterior commissurotomy, an external procedure using a thyroid cartilage piece with its overlying perichondrium to act as a keel, and 2/0 silk suture knot tied in an O ‐shaped loop over the web at the anterior commissure to act as a keel …”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of glottic web using butterfly mucosal flap technique: Experience on 12 patients

Yılmaz

2018

The Laryngoscope

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Objectives Many surgical methods have been described for the treatment of glottic web, with very little experience of each. Butterfly mucosal flap technique utilizes superior and inferior mucosal flaps on corresponding surfaces of the web; superior flap is elevated with its base on one vocal fold; and inferior flap is elevated with its base on the other vocal fold. These flaps are sutured to the vocal fold where flap's base is located. This requires four to six microsutures. The disadvantage of this technique is its difficulty. The advantages are single‐stage endoscopic outpatient surgery and high success rate. Methods This is an individual prospective cohort study. All consecutive 12 cases of glottic web were treated with butterfly mucosal flap technique and followed for at least 1 year postoperatively. Voice Handicap Index (VHI)‐30 including physical, functional, emotional, and total scores; acoustic analysis with /a/; aerodynamic measures; and respiratory function tests with a spirometer were determined pre‐ and postoperatively. Results Six patients were male; five were female; and one was male‐to‐female transsexual. Their ages ranged between 9 and 60 years with a mean of 36. All webs were caused by surgical trauma. All webs were cured with one surgery. The postoperative VHI scores, acoustic analysis results, aerodynamic measures, and respiratory function test results of patients improved significantly postoperatively (P < 0.05). Conclusion Although technically difficult, butterfly mucosal flap technique is a very successful single‐stage endoscopic surgical option for the treatment of glottic webs. Level of Evidence 2 Laryngoscope, 129:1423–1427, 2019

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of glottic web using butterfly mucosal flap technique: Experience on 12 patients

Yılmaz

2018

The Laryngoscope

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“…Small absorbable stents have been invented. 18 Fibrin glue has been used to provide a coating covering the mucosa of the anterior commissure. 19 Further experimental studies and larger clinical trials are still needed in the future for the treatment and prevention of glottic web formation.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment Modalities for Iatrogenic Anterior Glottic Stenosis

Cao

Sun

2018

Ann Otol Rhinol Laryngol

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The aim of this study was to describe common iatrogenic causes of anterior glottic stenosis and to investigate the surgical treatment outcomes of 3 different techniques aimed at repairing stenoses and preventing web reformation. Methods: Clinical information regarding patient demographics, presentation, etiology, treatment, and follow-up outcomes was obtained retrospectively through a review of patients' records between April 2010 and April 2017. Voice quality was evaluated using grade, roughness, breathiness, asthenia, and strain scale and Voice Handicap Index scores. Objective acoustic parameters were collected using the Kay Elemetrics Multi-Speech program. Results: Twenty patients were included in the study. Causes of glottic web formation included chemoradiation therapy and previous laryngeal surgery for polyps or malignant tumors at the anterior commissure. Web lysis with a CO 2 laser, intralaryngeal suturing, and keel placement were used in surgical treatment. Satisfactory results were achieved in 19 patients, and 1 recurrence was observed. Grade, roughness, breathiness, asthenia, and strain scale and Voice Handicap Index scores and objective voice variables for patients with Cohen type I or II webs improved significantly after the surgery. Conclusions: Treatment modalities for anterior glottic stenosis should be carefully chosen according to the etiology of the web, as well as the length and depth of the glottis involved.

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“…In order to treat and prevent anterior glottic web in one surgical procedure, it is necessary to physically separate the raw mucosal surfaces until full healing takes place. More recently, transoral laser section of anterior webs using CO 2 laser and endoscopic silastic sheets or stent placement appears to be safer and the most popular technique with good results [2,8,13,18], low recurrence [2], and without airway compromise [19].…”

Section: Discussionmentioning

confidence: 99%