Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Congenit Anom (Kyoto). 2023 May;63(3):83-86. doi: 10.1111/cga.12511. Epub 2023 Mar 23.
Congenital laryngeal webs are rare and are defined as thick epithelium-covered fibrous tissue lying between the vocal folds; the anterior glottis is the most common site of involvement, with possible extension to the subglottic region. The association with chromosome 22q11.2 deletion syndrome has also been reported. Symptoms have been abnormal or absent crying and airway obstruction since birth. Management strategies range from endoscopic division using cold instruments to open surgery for severe webbing. In endoscopic surgery, the need for tubeless anesthesia and spontaneous breathing is fundamental for obtaining the best surgical outcome. Here, we describe the case of a 4-month-old female patient affected by a type II glottic web according to Cohen, who was treated by simple endoscopic division in spontaneous breathing.
先天性喉蹼罕见，定义为位于声带之间的厚上皮覆盖的纤维组织；前声门是最常见的受累部位，可能延伸至声门下区。也有报道与 22q11.2 号染色体缺失综合征有关。症状自出生以来即有异常或无哭声和气道阻塞。治疗策略包括使用冷器械在内窥镜下进行分割，以及对于严重的蹼状结构采用开放性手术。在内窥镜手术中，需要无管麻醉和自主呼吸，这对于获得最佳手术效果至关重要。在此，我们描述了一例 4 个月大的女性患者，根据 Cohen 的分类为 II 型声门蹼，通过自主呼吸下的单纯内镜分割进行治疗。
