[Surgical correction of vocal cord synechia (author's transl)]

Anterior webs of the larynx, whether congenital or traumatic in origin, are conventionally treated by excision and subsequent interposition of a stent between the raw surfaces of the defect to prevent regrowth of the web. The present paper describes a new technique which does not require interposition of a stent. The web is divided through a laryngofissure and adjacent connective tissue is removed. The cut raw surfaces of the vocal cords are covered by the adjacent mucosa, which is carefully mobilized, adapted and sutured with interrupted silk sutures. The method described has been used in eight patients, with a good result obtained in seven of the patients. In the eighth patient, post-tranumatic scars with web formation were removed so that the condition was improved but not completely corrected.