Endoscopic approach to congenital glottic web: A case series

Abstract

Congenital glottic web results from the failure of complete canalization of the larynx during embryogenesis. It is an uncommon entity that characteristically presents with a high-pitched soft cry, stridor or dysphonia. The child may be comfortable at birth but a combination of weak cry with respiratory distress should alert the physician to look for possible laryngeal webs. Although rare, a physician should be mindful that congenital glottic web can occur in isolation or present with other synchronous airway anomalies. The choice of surgical approach often depends on the severity of laryngeal web. An endoscopic approach has been suggested for grade I – II webs while open airway reconstruction is used for grade III-IV webs. We hereby present 3 cases of congenital glottic web of different severity managed successfully with minimally invasive endoscopic approach.