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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.

International Journal of Pediatric Otorhinolaryngology Extra
|October 10, 2022
PubMed

Insights

Pediatric glottic webs are usually congenital. This case highlights acquired laryngeal webs in children, potentially caused by severe coughing, emphasizing voice changes after illness.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Laryngology

Background:

  • Pediatric glottic webs are typically congenital.
  • Acquired pediatric laryngeal webs are usually due to trauma, such as intubation or external injury.
  • Phonotraumatic stress, like that from severe coughing, is an underrecognized cause of acquired laryngeal webs.

Purpose of the Study:

  • To report a unique case of a pediatric laryngeal web.
  • To explore an unusual post-traumatic etiology for laryngeal webs in children.
  • To raise awareness of phonotraumatic stress as a potential cause of acquired laryngeal webs.

Main Methods:

  • Case report of a pediatric patient with a laryngeal web.
  • Clinical examination and laryngeal imaging.
  • Review of relevant literature on pediatric laryngeal webs.

Main Results:

  • A unique laryngeal web was identified at the junction of the anterior one-third and posterior two-thirds of the vocal folds.
  • The web's formation was possibly linked to phonotraumatic stress from severe coughing during a recent acute illness.
  • This represents a variation of post-traumatic acquired laryngeal webs in children.

Conclusions:

  • Persistent voice changes after acute illness in children warrant investigation for laryngeal webs.
  • Severe coughing can induce phonotraumatic stress leading to acquired laryngeal webs.
  • This case expands the understanding of acquired pediatric laryngeal web etiologies.

Keywords:
glottic weblaryngeal webpediatric

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