Endoscopic keel placement to treat and prevent anterior glottic webs

The Annals of Otology, Rhinology, and Laryngology
Randal C PanielloSiddarth M Khosla

Abstract

We performed a retrospective chart review to examine and describe our clinical experience of use of the Lichtenberger technique to place silicone elastomer keels after lysis of existing webs or for prevention of webs following anterior commissure surgery in adults. Twenty-two patients were identified for inclusion, ranging in age from 24 to 80 years. For 18 patients with existing glottic webs,the surgical procedure involved laryngoscopy with complete lysis of the anterior glottic web by laser or sharp technique, followed by placement of a square of silicone elastomer that is sutured in place with the Lichtenberger needle holder and left in place for 3 to 5 weeks. The procedure was well tolerated, and successfully corrected the web in all but 2 cases. For 4 patients, the procedure was performed prophylactically at the time of anterior commissure surgery considered high-risk for web formation. The procedure does not require a tracheotomy, and patients can maintain a normal diet and have functional phonation while the keel is in place. This approach to treating anterior glottic webs offers several advantages over traditional open thyrotomy with keel placement and should be considered to treat or prevent anterior glottic webs.

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Citations

Mar 10, 2016·American Journal of Otolaryngology·Brendan SorichettiFrederick K Kozak
Jun 16, 2016·Seminars in Pediatric Surgery·Kate A Stephenson, Michelle E Wyatt
Sep 28, 2016·Journal of Voice : Official Journal of the Voice Foundation·Chao XueJack Jiang
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Jan 4, 2017·The Laryngoscope·Jessica K McGuireJohannes J Fagan
Sep 19, 2019·The Journal of Laryngology and Otology·J M FusseyA Ciorba
Sep 15, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Filippo CartaRoberto Puxeddu
Aug 5, 2017·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Jian ChenHaitao Wu
Mar 24, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ahmed Hassan SweedMohamed Elsayed Elshora
Feb 1, 2020·European Annals of Otorhinolaryngology, Head and Neck Diseases·R GarrelM Remacle
Aug 4, 2021·The Laryngoscope·Yonatan LahavHagit Shoffel-Havakuk

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