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Mid-membranous Vocal Fold Webs: Case Series

Laura M Dominguez1, Michael M Johns2, C Blake Simpson1

  • 1Department of Otolaryngology, UT Health Science Center San Antonio, San Antonio, Texas.

Journal of Voice : Official Journal of the Voice Foundation
|July 19, 2016
PubMed
Abstract

Insights

Mid-glottic webs are rare laryngeal conditions, likely caused by vocal fold trauma and inflammation. Endoscopic surgery offers good voice outcomes without recurrence.

Area of Science:

  • Otolaryngology
  • Laryngology
  • Vocal Fold Pathology

Background:

  • Laryngeal webs are uncommon, with mid-membranous (mid-glottic) webs being exceptionally rare.
  • This case series is the first to describe this specific laryngeal condition.

Observation:

  • Four patients with mid-glottic webs were analyzed.
  • The clinical course and potential pathophysiology of these webs were investigated.

Findings:

  • Vocal fold trauma followed by inflammation is the probable cause of mid-glottic webs.
  • Endoscopic division of these webs resulted in positive postoperative voice outcomes.
  • No recurrences were observed after endoscopic web division.

Implications:

  • Mid-glottic webs, though rare, can be effectively treated with endoscopic surgery.
  • Understanding the pathophysiology may help identify risk factors for web formation.
  • Further research is needed to elucidate the etiology of this laryngeal condition.
Keywords:
dysphoniaglottic weblaryngeal webmid-glottic webmid-membranous vocal fold lesion

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