Normal speech for patients with laryngeal webs: An achievable goal

McGuirt, W. Frederick; Salmon, James H.; Blalock, David

doi:10.1288/00005537-198409000-00009

Cited by 37 publications

(18 citation statements)

References 9 publications

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“…McGuirt et al in 1984, described the use of mucosal flaps in the management of anterior glottic webs (13). This technique is comprised of raising a mucosal flap which constitutes the actual lysed web to cover one vocal cord.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Aspiration of Custom-Made Keel: A Case Report

Sharouny

Omar

2014

Iran Red Crescent Med J

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Introduction:Laryngeal stenosis has various causes and treatment options. Endoscopic resection of the stenotic part with CO2 laser is one of the treatment options of laryngotracheal stenosis. Keels are useful for preventing adhesion formation, restenosis and web formation, which may happen during the later stage. They can be put in place either via the endoscopic approach or through a micro thyroidotomy and are held in place with a heavy suture through cricothyroid and thyrohyoid membranes. They are left in place for two to four weeks, and then removed through the endoscopic approach under general anesthetics.Case Presentation:We report on a case of anterior glottis stenosis with keel aspiration for two weeks, after endoscopic CO2 laser resection of the stenotic section and keel placement. The patient was admitted to our center, where bronchoscopy was performed and the keel was removed. A new custom-made silastic keel was properly placed in raw areas and fixed to the skin with suture through the cricothyroid and thyrohyoid membranes. The keel was removed three weeks later.Conclusions:Endoscopic keel placement should be done with heavy suture through cricothyroid and thyrohyoid membranes. Surgeons should suture the keel to the anterior laryngeal wall with specially designed Lichtenberger’s needle-carriers to prevent complications such as keel aspiration, adhesion formation and imposing a second trip under general anesthetics, which put the patient at increased risk. The false vocal cord microflaps, as biological keels and a relatively new method may replace silastic keel placement in the future.

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Section: Discussionmentioning

confidence: 99%

Iatrogenic Aspiration of Custom-Made Keel: A Case Report

Sharouny

Omar

2014

Iran Red Crescent Med J

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“…24 Endoscopic suturing techniques aim to avoid grafting and stenting after lysis. [25][26][27] This is suitable for webs involving up to the entire length of the membranous vocal fold. Webs are incised in the midline and trimmed to allow good adhesion of the mucosa.…”

Section: Grafts and Flapsmentioning

confidence: 99%

Acquired Glottic Stenosis—The Ongoing Challenge: A Review of Etiology, Pathogenesis, and Surgical Management

Lahav¹,

Shoffel‐Havakuk²,

Halperin

2015

Journal of Voice

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“…6 Congenital webs are rare, comprising less than 5% of all congenital anomalies of the larynx. 7 Severe congenital glottic webs are often associated with subglottic stenosis, 4,8,9 and sometimes, are associated with other congenital abnormalities, such as Fraser syndrome, fetal alcohol syndrome, cartilage hair hypoplasia, DiGeorge syndrome, CATCH22 syndrome, duodenal atresia, short-limbed dwarfism, and cardiac defects. [10][11][12][13][14] Acquired webs occur secondary to endotracheal intubation, laryngeal trauma, laryngeal surgery near the anterior commissure, radiotherapy, and rarely, inflammatory processes, such as tuberculosis or diphtheria.…”

Section: Introductionmentioning

confidence: 99%