Succinct key points:
  1. Ten patients who has congenital laryngeal web were included .
  2. There were 3 type I、II webs, 7 type III、IV web。
  3. All the 3 children with type I and II laryngeal web recovered after a single endoscopic procedure.
  4. children with laryngeal web type III and IV usually had a record of multiple visits to the hospital with multiple treatments.
  5. The ultimate treatment required for such patients was open laryngoplasty.
The congenital laryngeal web is a rare form of clinical laryngeal malformation, which was first proposed by Fleischmann in 1882. This condition is formed by the growth of the abnormal tissues in the glottic portion and accounts for approximately 5% 【1】of the congenital structural malformations of the larynx. At 8-10 weeks of gestation, the congenital laryngeal web is generally associated with embryonic developmental disorders that may occur alone or with other clinical syndromes, such as 22q11.2 deletion syndrome. The clinical manifestations of this condition may differ, which depends on the degree of involvement of the laryngeal tissues and the degree of obstruction in the trachea.
Patients with congenital laryngeal web are clinically presented with vocal disturbances, hoarseness, wheezing, or breathlessness. This condition is most commonly found in the anterior coalition of the vocal folds and often combined with stenosis below the glottis. In 1985, Cohen[2] proposed a typology for the congenital laryngeal web, which included the following types: i) type I, which involves a thin, membranous laryngeal web involving <35% of the vocal folds, ii) type II including laryngeal web tissues involving 35%-50% of the glottic portion, iii) type III, which involves the laryngeal web tissues comprising 50%-75% of the glottic portion, and the involvement of usually the lower glottic portion, and iv) type IV including the laryngeal web tissues with more than 75% of the glottic portion, completely blocking the glottis.