Endoscopic keel placement to treat and prevent anterior glottic webs

Randal C. Paniello, Shaun Desai, Clint T Allen, Siddarth M. Khosla

Research output: Contribution to journalArticle

Abstract

We performed a retrospective chart review to examine and describe our clinical experience of use of the Lichtenberger technique to place silicone elastomer keels after lysis of existing webs or for prevention of webs following anterior commissure surgery in adults. Twenty-two patients were identified for inclusion, ranging in age from 24 to 80 years. For 18 patients with existing glottic webs, the surgical procedure involved laryngoscopy with complete lysis of the anterior glottic web by laser or sharp technique, followed by placement of a square of silicone elastomer that is sutured in place with the Lichtenberger needle holder and left in place for 3 to 5 weeks. The procedure was well tolerated, and successfully corrected the web in all but 2 cases. For 4 patients, the procedure was performed prophylactically at the time of anterior commissure surgery considered high-risk for web formation. The procedure does not require a tracheotomy, and patients can maintain a normal diet and have functional phonation while the keel is in place. This approach to treating anterior glottic webs offers several advantages over traditional open thyrotomy with keel placement and should be considered to treat or prevent anterior glottic webs.

Original languageEnglish (US)
Pages (from-to)672-678
Number of pages7
JournalAnnals of Otology, Rhinology and Laryngology
Volume122
Issue number11
StatePublished - Nov 2013
Externally publishedYes

Fingerprint

Tongue
Silicone Elastomers
Phonation
Tracheotomy
Laryngoscopy
Needles
Lasers
Diet

Keywords

  • Endoscopy
  • Keel
  • Larynx
  • Surgery
  • Web

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Endoscopic keel placement to treat and prevent anterior glottic webs. / Paniello, Randal C.; Desai, Shaun; Allen, Clint T; Khosla, Siddarth M.

In: Annals of Otology, Rhinology and Laryngology, Vol. 122, No. 11, 11.2013, p. 672-678.

Research output: Contribution to journalArticle

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