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Congenital laryngeal webs:From evaluation to surgical management
  • peng zhu,
  • Jia rui Chen,
  • xiao li
peng zhu
Shanghai Children's Hospital

Corresponding Author:[email protected]

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Jia rui Chen
Shanghai Children's Hospital
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xiao li
Shanghai Children's Hospital
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Abstract

Objective. To discuss the presentation, evaluation, and management of congenital laryngeal web. Methods.: The Institutional Board of Ethics of shanghai Children’s Hospital 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.