Abstract：
Congenital laryngeal webs are rare and are defined as thick epithelium-covered fibrous tissue lying between the vocal folds; the anterior glottis is the most common site of involvement, with possible extension to the subglottic region. The association with chromosome 22q11.2 deletion syndrome has also been reported. Symptoms have been abnormal or absent crying and airway obstruction since birth. Management strategies range from endoscopic division using cold instruments to open surgery for severe webbing. In endoscopic surgery, the need for tubeless anesthesia and spontaneous breathing is fundamental for obtaining the best surgical outcome. Here, we describe the case of a 4-month-old female patient affected by a type II glottic web according to Cohen, who was treated by simple endoscopic division in spontaneous breathing.
摘要：
先天性喉网很少见，被定义为位于声带之间的厚上皮覆盖的纤维组织；前声门是最常见的受累部位，可能延伸到声门下区域。与染色体22q11.2缺失综合征的关联也有报道。自出生以来，症状一直是异常或没有哭闹和气道阻塞。管理策略的范围从使用冷器械的内窥镜分割到严重织带的开放式手术。在内窥镜手术中，无管麻醉和自主呼吸的需要是获得最佳手术效果的基础。这里,根据科恩的说法，我们描述了一名4个月大的女性患者受II型声门网影响的情况，在自主呼吸中通过简单的内窥镜分割治疗。
