Abstract
Objective. To discuss the presentation, evaluation, and management of
congenital laryngeal web. Methods.: The Institutional Board of Ethics of
shanghai Children’s Hospital approved this retrospective review of all
patients who were diagnosed with laryngeal web at our institution within
the past 10 years. Charts mined for age at presentation, presenting
symptoms, degree/location of web, associated syndromes, number/type of
surgical procedures, and postoperative outcomes. Results.: Ten patients
were included (6 male, 4female). There were 3 type I、II webs, 7 type
III、IV webs; Children with type I and II laryngeal web were mainly
presented with hoarseness and discomfort without any obvious respiratory
distress(P<0.05). Children were usually older when they were
presented to the hospital(p<0.05), All the 3 children with
type I and II laryngeal web recovered after a single endoscopic
procedure. While children with laryngeal web type III and IV usually had
a record of multiple visits to the hospital with multiple
treatments(p<0.05) All of these 7 type III、IV webs , the
tracheotomy was performed early, The ultimate treatment required for
such patients was open laryngoplasty. Conclusions:There is a need for
alertness regarding the neonatus exhibiting hoarseness and weak crying.
To achieve a satisfactory outcome, it is essential to perform accurate
preoperative staging and assessment along with an appropriate choice of
treatment and placement of the laryngeal stent.