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Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Acquired Glottic Web Formation in a 3-Year-Old Girl: Case Report and Literature Review
Susan D Emmett1, Lee M Akst1, Margaret L Skinner1
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Johns Hopkins Outpatient Center, 6 floor, 601 North Caroline Street, Baltimore, MD 21287.
Abstract:
Pediatric glottic webs are most commonly congenital in origin. Acquired webs in children are typically traumatic in nature, primarily from external trauma or intubation. We report a unique variation of this post-traumatic etiology: a web centered at the junction of the anterior one-third and posterior two-thirds of the vocal folds, possibly formed after phonotraumatic stress from severe coughing. Our case suggests that careful attention should be paid to persistent voice changes after acute illness, as this may be a sign of laryngeal web in the setting of phonotraumatic stress.
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