PDF(Pubmed)
Abstract：
Glottic web is an abnormal soft tissue adhesion between the vocal cords which occurs due to failure of recanalisation. Congenital glottic webs comprises 5% of laryngeal anomalies. Cohen classified glottic webs into four types based on percentage of airway obliteration. Patients with severe glottic web-grade III and grade IV present with respiratory distress, stridor, phonatory difficulties or recurrent respiratory infections warranting urgent intervention. We are presenting our experience in managing two such patients with severe congenital glottic web. Diagnosis was confirmed by fibreoptic laryngoscopy under monitored anaesthetic care. Combined endoscopic excision of web with laryngofissure approach for keel stenting. In both our patients, we have used a silicone based keel for laryngeal stenting to provide strength and prevent re-webbing. During follow-up, both patients were found to have adequate phonation and normal airway thus demonstrating this method as safe option for adequate phonatory and airway outcomes.
摘要：
声带网是由于再通失败而发生的声带之间的异常软组织粘连。先天性声门网占喉部异常的5％。科恩根据气道闭塞的百分比将声门网分为四种类型。严重声门网III级和IV级患者出现呼吸窘迫，stridor,需要紧急干预的语音困难或反复呼吸道感染。我们正在介绍我们在管理两名患有严重先天性声门网的此类患者方面的经验。在麻醉监测下通过纤维喉镜检查证实了诊断。内镜下网状切除术与喉裂入路联合置入龙骨支架。在我们的两个病人身上，我们使用硅胶龙骨进行喉支架置入，以提供强度并防止重新织带。随访期间,两名患者均被发现有足够的发声和正常的气道,因此证明该方法是足够的发声和气道结局的安全选择.
