Am J Otolaryngol Head Neck Surg | Volume 2, Issue 9 | Case Report | Open Access

A Novel Keel for Treatment of Anterior Glottic Webs

Jing Zhao, Jinrang Li* and Hongguang Guo

Department of ENT, The Sixth Medical Center of PLA General Hospital, China

*Correspondance to: Jinrang Li 

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Abstract

We reviewed our clinical experience of placing endoscopically self-made polyester keels to prevent reformation of Anterior Glottic Webs (AGWs) in adults. Seven patients were identified for inclusion, ages ranging from 24 years to 78 years. All patients were performed lysis of the AGWs by laser or cold apparatus and placement of keels under general anesthesia. The keels were made of polyester cardiovascular patches. The keels were removed after 2 to 3 weeks. No patients needed tracheotomy, and the keels didn’t influence patients’ normal diets during implantation. Our experience for AGWs showed very encouraging results, both morphologically and functionally. Follow-up for 2 years to 4 years, no webs were recurrence. The keels of new material had good tissue compatibility and flexibility over silicone elastomer, and should be considered to treat or prevent AGWs.

Citation:

Zhao J, Li J, Guo H. A Novel Keel for Treatment of Anterior Glottic Webs. Am J Otolaryngol Head Neck Surg. 2019; 2(9): 1072.

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