Anterior glottic web combined with epiglottic hypoplasia was found in a middle-aged man presenting with hoarseness and dyspnea on exertion. This can be considered as a unique isolated defect of the larynx during early fetal development. [ncbi.nlm.nih.gov]

A grade-2 subglottic stenosis was also present and the trachea was normal. Table 2 Symptoms present in the newborn period and sequelae in the patient born with VACTERALs. [entokey.com]

Clinical presentations of laryngeal webs vary from case to case. Patients may be asymptomatic and may present as unanticipated cases of difficult intubation [1] [4] [5]. [scirp.org]

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

This report presents the successful management of a congenital laryngeal web in a 10-month-old boy with endoscopic lysis and topical mitomycin-C application. [unboundmedicine.com]

• Fishing

  All congenital glottic webs should be tested by FISH. CT Neck with thin slices should be considered before open airway intervention to assess craniocaudal extension. [medicine.uiowa.edu]

  However, genetic testing using the FISH method did not confirm this diagnosis in our patient. Additionally, we considered the possibility of CHARGE syndrome or VACTERL/VATER. [karger.com]

• Abnormal Pulse

  Abnormal pulses of a medialized internal carotid artery behind the muscular wall of the nasopharyngeal midline also should be sought. [entokey.com]

• Blue Sclera

  Braddock SR: A new recessive syndrome with VATER-like defects, pulmonary hypertension, abnormal ears, blue sclera, laryngeal webs, and persistent growth deficiency. Am J Med Genet 2003;123A; 95–99. [karger.com]

• Suggestibility

  This case and prior reports suggest that the novel approach may be effective in the treatment of laryngeal webs. [ncbi.nlm.nih.gov]

  The findings suggest that congenital glottic webs require accurate endoscopic diagnosis and open airway reconstruction for definitive treatment. (C) 2000 Elsevier Science Ireland Ltd. [ohsu.pure.elsevier.com]

  Some authors cite DiGeorge being associated with significant post operative edema suggesting utility of a double-stage procedure (Kuo 2020) Recurrence rate is high >70% (Lawlor 2020) INTERVENTIONS Tracheostomy Especially in smaller infants, early tracheostomy [medicine.uiowa.edu]

  The findings suggest that congenital glottic webs require accurate endoscopic diagnosis and open airway reconstruction for definitive treatment. [pubmed.ncbi.nlm.nih.gov]

Management and treatment The primary goals of management for congenital laryngeal web are to provide a patent airway and to achieve a good voice quality. [orpha.net]

The application of these minimally invasive endoscopic techniques was successful, hence it may be an effective alternative treatment option for laryngeal webs. [ncbi.nlm.nih.gov]

Traditionally, the treatment of choice for laryngeal web is laryngofissure and placement of a stent or keel. [unboundmedicine.com]

Asymptomatic patients do not require treatment; others are managed by surgical division. Extensive webs may even require laryngeal reconstruction [3]. [scirp.org]

Treatment and prognosis If symptomatic referral to an ENT surgeon for possible resection. Treatment can include various interventions via bronchoscopy, e.g. [radiopaedia.org]

Overall prognosis was good. Patients consent was taken for publishing this case report. 3. Discussion Laryngeal web is a very rare clinical entity. [scirp.org]

Long-Term Outlook Prognosis is good with a normal lifespan. The only noticeable long-term symptoms may be a hoarse or rough voice. [cincinnatichildrens.org]

Accurate identification of the lesion led to prompt choice of therapy, favorable prognosis, and ultimately patient survival free of respiratory complications. REFERENCES [1] Alvarez Garrido C, Holmgren NLP, Caussade SL, Paz FC, Jofré DP, Sánchez ID. [bjorl.org]

Surfactant production by type II pneumocytes begins around week 20-22, but overall is not enough to prevent airway collapse (atelactstasis) Premature infants born at this stage have a VERY POOR prognosis Terminal sac period (24 weeks – birth) The overall [web.duke.edu]

Etiology The malformation is a result of anomalous embryologic development of the larynx, stemming from incomplete resorption of the epithelial layer that normally obliterates the developing laryngeal opening at about the sixth week of gestation. [orpha.net]

Contact Ulcers Etiology may be one of three causes Hard glottal attack Irritation as result of gastric reflux Intubation for surgery Symptoms Hoarseness/roughness of voice Laryngeal pain or pain lateralizing to ear Vocal fatigue Excessive throat-clearing [ucs.louisiana.edu]

Supraglottic Abnormalities Epiglottitis Etiology: Acute bacterial epiglottitis is a potentially serious cause of upper airway obstruction in children. [radiologykey.com]

[…] steroids (asthma meds) Fungal infections- vocal characteristics Dysphonia is proportional to the location of the fungus and extent Fungal infections- treatment -A furrow, or ridge, that runs along the membranous portion of the vocal folds -No clear etiology [quizlet.com]

Etiology and pathogenesis Lymphangiomas originate from lymphatic vessel malformations. [emedicine.medscape.com]

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

Summary Epidemiology The prevalence at birth is less than 1 in 10 000. [orpha.net]

Congenital Laryngeal Webs Epidemiology Laryngeal webs are rare congenital anomalies of the larynx. [emedicine.medscape.com]

The epidemiology of meconium aspiration syndrome: incidence, risk factors, therapies, and outcome. Pediatrics, 117, 1712-21. PMID: 16651329 DOI. ↑ Aly H, Mohamed MA & Wung JT. (2017). [embryology.med.unsw.edu.au]

The laryngeal web can be successfully treated in a single stage with endoscopic lysis and topical application of mitomycin C for prevention of anterior glottic restenosis. [ncbi.nlm.nih.gov]

A keel (Silastic sheet) prevents this sequlae. Topical corticosteroid injections and local application of mitomycin C also prevents scarring [7]. 4. Conclusion Laryngeal webs range from being asymptomatic to symptomatic. [scirp.org]

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

Keel stents are mainly intended to prevent the laryngeal web from reforming; they are frequently used in children with congenital laryngeal web or laryngeal stenosis (i.e., atresia), to repair anterior glottis stenosis, and to **prevent stenosis** after [proz.com]