Vocal characteristics of congenital anterior glottic webs in children: A case report

Shah, Jay; White, Katherine E.; Dohar, Joseph E.

doi:10.1016/j.ijporl.2015.04.008

Cited by 4 publications

(7 citation statements)

References 15 publications

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“…62,71,72 Subtle or persistent dysphonia in neonates and infants should always raise the suspicion of an underlying laryngeal anomaly, even in the absence of stridor or respiratory distress. 62,63,71…”

Section: Differentiating Voice Disorders From Stridor and Laryngospasmmentioning

confidence: 99%

“…(i) respiratory signs: most commonly stridor and UAO, 43,47,61 but also distress, hypoxia, apnoea, OSA, chronic wheezing, and repeated chest infections; 22,24,28,45,46 (ii) swallowing problems: resulting in gastro-oesophageal reflux disease (GERD), accumulation of secretions, feeding difficulties, failure to thrive and repeated aspiration; 22,24,28,45,46 (iii) voice abnormalities. 43,46,62,63 Symptomatic patients are often mislabelled as non-responsive asthma or GERD, whilst asymptomatic patients may never be diagnosed or be discovered incidentally. 22,24,28,45,46,63 Surgery is indicated for symptomatic lesions and ranges from emergency surgery for life-threatening airway obstruction to semi-elective procedures for GERD, failure to thrive, or OSA, or later elective procedures to improve voice quality.…”

Section: Congenital Laryngeal Webs (Clw) (Previously Undescribed In Bbs)mentioning

confidence: 99%

“…43,46,62,63 Symptomatic patients are often mislabelled as non-responsive asthma or GERD, whilst asymptomatic patients may never be diagnosed or be discovered incidentally. 22,24,28,45,46,63 Surgery is indicated for symptomatic lesions and ranges from emergency surgery for life-threatening airway obstruction to semi-elective procedures for GERD, failure to thrive, or OSA, or later elective procedures to improve voice quality. 43,46,48,53,63 Obstructive sleep apnoea…”

Section: Congenital Laryngeal Webs (Clw) (Previously Undescribed In Bbs)mentioning

confidence: 99%

“…22,24,28,45,46,63 Surgery is indicated for symptomatic lesions and ranges from emergency surgery for life-threatening airway obstruction to semi-elective procedures for GERD, failure to thrive, or OSA, or later elective procedures to improve voice quality. 43,46,48,53,63 Obstructive sleep apnoea…”

Section: Congenital Laryngeal Webs (Clw) (Previously Undescribed In Bbs)mentioning

confidence: 99%

“…Bardet-Biedl syndrome 3,24 Breathy, high-pitched and hypernasal speech is slow with misarticulation Congenital laryngeal abnormalities 46,63 High-pitched, soft, weak cry, but may be hoarse or aphonic…”

Section: Condition Qualitymentioning

confidence: 99%

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Bardet–Biedl syndrome: expect the unexpected, suspect the unsuspected

Cronjé

2017

Southern African Journal of Anaesthesia and Analgesia

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This is the first reported description of Bardet-Biedl syndrome (BBS) with the combination of a malacic bifid epiglottis and anterior laryngeal web. Anaesthesia for BBS has numerous concerns and these are reviewed, focusing on features that manifest not only in BBS but across a spectrum of syndromes that impact airway management. Congenital laryngeal anomalies (CLA) are rare and usually present preoperatively with upper airway obstruction and stridor. In asymptomatic infants, CLA may cause unexpected airway problems under anaesthesia which can be mistaken for more common occurrences, such as laryngospasm. Preoperative dysphonia may be the only clue to suspecting the presence of a CLA. The combination of obesity, polysyndactyly/brachydactyly and even subtle craniofacial abnormalities should always alert the anaesthetist to the possibility of a CLA and difficult airway.

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Section: Differentiating Voice Disorders From Stridor and Laryngospasmmentioning

confidence: 99%

Section: Congenital Laryngeal Webs (Clw) (Previously Undescribed In Bbs)mentioning

confidence: 99%

Section: Congenital Laryngeal Webs (Clw) (Previously Undescribed In Bbs)mentioning

confidence: 99%

Section: Congenital Laryngeal Webs (Clw) (Previously Undescribed In Bbs)mentioning

confidence: 99%

Section: Condition Qualitymentioning

confidence: 99%

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Bardet–Biedl syndrome: expect the unexpected, suspect the unsuspected

Cronjé

2017

Southern African Journal of Anaesthesia and Analgesia

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Endoscopic Versus Open Surgical Intervention for Congenital Laryngeal Webs: A Systematic Review and Meta‐Analysis

Moore

Walker

Kanotra

2023

Otolaryngol.--head neck surg.

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Objectives. To examine and compare the outcomes of various surgical interventions for congenital laryngeal webs in terms of avoidance of tracheostomy, rate of decannulation, web recurrence, revision surgery, and mortality in children.Data Sources. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic review was conducted on December 10, 2021, using a comprehensive search in PubMed, Web of Science, Cochrane library, and Embase with no date restriction.Review Methods. Articles on surgical intervention for congenital laryngeal webs in pediatric (<18 years) patients were included in the analysis. Articles including acquired laryngeal webs, no surgical intervention, or exclusively adult population were excluded.Results. 9027 articles were reviewed, 24 articles met the inclusion criteria and 126 patients were included. In patients with Grades I and II webs, there was no significant difference in rates of tracheostomy or decannulation, between endoscopic (100%) versus open approach (100%). For Grades III and IV webs, 96% of patients who received open surgery were decannulated or avoided tracheostomy compared to 84% of those managed endoscopically (p = 0.081). There were significantly lower rates of revision surgery in the open group compared to the endoscopic group (77.8% vs 30.9%, p = 0.008). Conclusion.This study showed no difference in rates of tracheostomy, decannulation, web recurrence, revision, or mortality between endoscopic and open approaches for the treatment of Grades I and II webs. For Grades III and IV, open surgical techniques achieved a lower revision rate. Results should be interpreted in light of associated increased morbidity with open procedures.

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