Abstract
Objective. To discuss the presentation, evaluation, and management of
congenital laryngeal web.
Methods.: The Institutional Board of Ethics of “Blinded for
review”approved this retrospective review of all patients who were
diagnosed with laryngeal web at our institution within the past 10
years. Charts mined for age at presentation, presenting symptoms,
degree/location of web, associated syndromes, number/type of surgical
procedures, and postoperative outcomes.
Results.: Ten patients were included (6 male, 4female). There were 3
type I、II webs, 7 type III、IV webs; Children with type I and II
laryngeal web were mainly presented with hoarseness and discomfort
without any obvious respiratory distress(P<0.05). Children were
usually older when they were presented to the
hospital(p<0.05), All the 3 children with type I and II
laryngeal web recovered after a single endoscopic procedure. While
children with laryngeal web type III and IV usually had a record of
multiple visits to the hospital with multiple
treatments(p<0.05) All of these 7 type III、IV webs , the
tracheotomy was performed early, The ultimate treatment required for
such patients was open laryngoplasty.
Conclusions:There is a need for alertness regarding the neonatus
exhibiting hoarseness and weak crying. To achieve a satisfactory
outcome, it is essential to perform accurate preoperative staging and
assessment along with an appropriate choice of treatment and placement
of the laryngeal stent.
Key words :
congenital laryngeal webs、T-tube 、open
laryngoplasty、hoarseness、tracheotomy