1st Otorhinolaryngology Dpt, National and Kapodistrian University of Athens School of Medicine, Athens, Attiki, Greece
1st Otorhinolaryngology Dpt, National and Kapodistrian University of Athens School of Medicine, Athens, Attiki, Greece.
BMJ Case Rep. 2021 May 21;14(5):e242561. doi: 10.1136/bcr-2021-242561.
Posterior laryngeal webs are uncommon pathologies that are usually acquired at some point in adult life. Prior and prolonged intubation is the leading cause for developing such lesions. In certain rare cases of posterior laryngeal webs, no identifiable cause can be associated with the development of this pathology. We present a case with such an idiopathic lesion. Surgery is the treatment of choice. Several techniques and modifications can be used, to achieve maximum airway release and, at the same time, ensure that restenosis will be avoided. Our patient recurred following initial treatment and a more complex revision surgery was necessary. Special attention should be given in differentiating these lesions from abductor vocal cord paralysis. Furthermore, careful investigation of the cause and individualisation of patient treatment are crucial.
声门下狭窄是一种不常见的疾病，通常在成年后某个阶段获得。先前和长期的插管是导致此类病变的主要原因。在某些罕见的声门下狭窄病例中，无法确定与该病理发生相关的明确原因。我们报告了一例此类特发性病变。手术是首选的治疗方法。可以使用多种技术和改进方法，以实现最大的气道释放，同时确保避免再狭窄。我们的患者在初始治疗后复发，需要进行更复杂的修正手术。在鉴别这些病变与声带外展麻痹时应特别注意。此外，仔细调查病因和个体化患者治疗至关重要。
