Laryngoscopic Placement of Laryngeal Keels With Percutaneous Fixation

Chiu, L. D.; Rasgon, Barry M.; Cruz, Raul M.

doi:10.1097/00005537-199606000-00023

Cited by 4 publications

(4 citation statements)

References 6 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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“…Afterward, a variety of keels, such as Teflon, silastic rubber, were introduced. [8][9][10] Chiu et al 10 in 1996 introduced a technique of securing a silastic keel with percutaneous sutures after laser lysis of an anterior glottic web. His method secures the keel with 4 punctures through the thyroid cartilage and skin.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic mucosal suturing of vocal fold with placement of stent for the treatment of glottic stenoses

Han

et al. 2009

Head & Neck

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“…A number of previously documented techniques employed multiple punctures through the larynx with various devices, including an intravenous cannula, 12 spinal needles 13 and hypodermic needles, 14 through which the suture material was introduced. A number of previously documented techniques employed multiple punctures through the larynx with various devices, including an intravenous cannula, 12 spinal needles 13 and hypodermic needles, 14 through which the suture material was introduced.…”

Section: Discussionmentioning

confidence: 99%

“…The simplicity of our approach for securing the keel compares favourably with other endoscopic methods. A number of previously documented techniques employed multiple punctures through the larynx with various devices, including an intravenous cannula, 12 spinal needles 13 and hypodermic needles, 14 through which the suture material was introduced.…”

Section: Discussionmentioning

confidence: 99%

Simple keel fixation technique for endoscopic repair of anterior glottic stenosis

et al. 2006

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Laryngoscopic Placement of Laryngeal Keels With Percutaneous Fixation

Cited by 4 publications

References 6 publications

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

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

Endoscopic mucosal suturing of vocal fold with placement of stent for the treatment of glottic stenoses

Simple keel fixation technique for endoscopic repair of anterior glottic stenosis

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