Journal article
Congenital Laryngeal Webs: Surgical Course and Outcomes
Annals of otology, rhinology & laryngology, Vol.119(10), pp.704-706
10/2010
DOI: 10.1177/000348941011901010
PMID: 21049857
Abstract
Objectives: We compare the success of different surgical options in the treatment of laryngeal webs.
Methods: We performed a retrospective study spanning the years 1980 to 2005.
Results: Eighteen patients were identified. The average age at diagnosis was 6 months (range, 1 day to 2.5 years). The presenting symptoms included weak cry, stridor, airway obstruction, and difficulty breathing. Associated cardiac defects consistent with the diagnosis of 22q-syndrome were present in 7 patients. Webs were classified as grade I (5 patients), grade II (2 patients), grade III (10 patients), or grade IV (1 patient) according to the Cohen classification. In 5 patients, only endoscopic lysis was required. The remaining 13 patients underwent open procedures; 9 patients in this group required tracheotomy. An average of 1.3 open airway procedures was necessary to achieve a decannulation rate of 89%. After operation, 34% of patients had residual webbing and 20% had a weak or aphonic voice.
Conclusions: Management of laryngeal webs is dependent on the severity of airway obstruction. Grade I and II webs can be treated endoscopically; more severe laryngeal webs usually require tracheotomy and open airway reconstruction.
Details
- Title: Subtitle
- Congenital Laryngeal Webs: Surgical Course and Outcomes
- Creators
- Steven Goudy - Department of Otolaryngology, Vanderbilt University, Nashville, TennesseeNancy Bauman - Division of Pediatric Otolaryngology, Children's Medical Center, Washington, DCJosé Manaligod - Department of Otolaryngology, University of Iowa, Iowa City, IowaRichard J. H Smith - Department of Otolaryngology, University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Annals of otology, rhinology & laryngology, Vol.119(10), pp.704-706
- DOI
- 10.1177/000348941011901010
- PMID
- 21049857
- NLM abbreviation
- Ann Otol Rhinol Laryngol
- ISSN
- 0003-4894
- eISSN
- 1943-572X
- Language
- English
- Date published
- 10/2010
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Otolaryngology; Internal Medicine
- Record Identifier
- 9984006411902771
Metrics
29 Record Views