Management of acquired anterior glottic webs involves resection of the web with reconstitution of a linear vocal fold edge and anterior commissure. Traditional procedures such as transcervical midline thyrotomy (with tracheostomy) and keel placement have been used for patients with extensive scar formation and airway compromise. However, in selected patients with more limited scarring and minimal-to-no airway compromise, a transoral endoscopic approach may be a viable option. In three patients, transoral laser vaporization followed by transoral keel placement and outpatient removal resulted in a vocal quality that perceptually improved without any evidence of respiratory compromise postoperatively.
- Anterior glottic web
- Keel placement
- Transcervical midline thyrotomy
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