Intralaryngeal Approach to Laryngeal Web Using Lateralization With Silastic

The combined endoscopic management of congenital laryngeal web

“…Schweinfurth combined endoscopic transsection with keel insertion [18]. Hsueh applied silastic for lateralisation after removal of the scar [10].…”

“…To avoid these problems endoscopic solutions were introduced [10,18,20]. These techniques combine scar transsection with stent application or the use of antiproliferative agents to reduce scar formation between the vocal folds [16].…”

The Butterfly Procedure: A New Technique and Review of the Literature for Treating Anterior Laryngeal Webs

“…[10][11][12][13][14] Acquired webs occur secondary to endotracheal intubation, laryngeal trauma, laryngeal surgery near the anterior commissure, radiotherapy, and rarely, inflammatory processes, such as tuberculosis or diphtheria. 6,15,16 In the normal course of development, the laryngeal lumen is obliterated by the proliferation of the epithelial lamina in the sixth week of fetal life, which then recanalizes in the eighth to 10th week. Congenital laryngeal webs, subglottic stenosis, and laryngeal atresia result from various degrees of this recanalization failure 17 as a spectrum of congenital laryngeal anomalies.…”

Application of mitomycin C after endoscopic lysis of congenital laryngeal web combined with epiglottic hypoplasia in a middle-aged man

“…The surgical treatment of laryngeal webs can be classified into four groups: (1) intra-laryngeal resection of the web and repeated lysis of adhesions; (2) laryngofissure, resection of laryngeal web, and placement of a keel; (3) intra-laryngeal resection of the web and placement of a plate; and (4) intra-laryngeal mucosal flap [2]. These modalities of treatment usually require multiple procedures or operations under anesthesia and keel insertion including risks of airway compromise and granulation formation.…”