Management of Anterior Glottic Web with Laser Vaporization and Endolaryngeal Silastic Keel Insertion

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J Korean Soc Laryngol Phoniatr Logop > Volume 5(1); 1994 > Article

Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 1994;5(1): 64-68.

성대 전연부 격막에 대한 레이저 치료 및 후두경하 실라스틱 Keel 삽입술의 효과

최종욱, 주형로, 정광윤

고려대학교 의과대학 이비인후과-두경부외과학교실

Management of Anterior Glottic Web with Laser Vaporization and Endolaryngeal Silastic Keel Insertion

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ABSTRACT

Anterior glottic webs shorten the free margins of the vocal cords and prevent air flow at their locations, thereby changing the potential vibratory characteristics of the vocal system. They are now more often iatrogenic from endolaryngeal surgical procedures, complications of intubation, chronic inflammation or due to penetrating and blunt trauma to the larynx. A wide range of treatment procedures are now available but the solution to acquiring a "normal" voice has remained elusive due to reflectory stenosis and scar formation. We present our recent experiences with glottic web in nine cases using KTP-532 laser vaporization and endolaryngeal silastic keel insertion technique. Postoperative speech assessment in our cases showed significant improvement in voice quality of 7 of 9 cases studied(77.8%), and no specific problems were not seen.

KEY WORDS： Anterior glottic web;Reflectory stenosis;Endolaryngeal silastic keel;