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Adult Glottic Stenosis

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Synonyms

Glottic web; Laryngeal stenosis; Laryngeal web; Posterior glottic stenosis

Definition

Chronic narrowing of the airway at the glottic level of the larynx; that is, at the level of the true vocal folds.

Classification

Stenosis at the level of the glottis can be divided into three categories: (1) anterior, (2) posterior, and (3) complete.

Anterior stenosis can be seen in two forms. The first is a simple anterior glottic web, which can be congenital or acquired (Fig. 1a). A web is a bridge of scar tissue between the true vocal folds that is covered with epithelium. It usually involves the anterior commissure. The second is a more complex form in which the true vocal folds, false vocal folds, and the ventricles are adherent to one another. This is usually the result of severe external laryngeal trauma and thyroid cartilage fracture.

Adult Glottic Stenosis, Fig. 1
figure 134

(a) A small anterior glottic web. (b) A large anterior glottic web secondary to surgical trauma. Note the laryngeal...

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Adult Glottic Stenosis, Fig. 1
Adult Glottic Stenosis, Fig. 2
Adult Glottic Stenosis, Fig. 3
Adult Glottic Stenosis, Fig. 4

References

  • Benjamin B (1993) Prolonged intubation injuries of the larynx: endoscopic diagnosis, classification and treatment. Ann Otol Rhinol Laryngol Suppl 160:1–15

    PubMed  CAS  Google Scholar 

  • Benninger MS, Gillen JB, Altman JS (1998) Changing etiology of vocal fold immobility. Laryngoscope 108:1346–1350

    PubMed  CAS  CrossRef  Google Scholar 

  • Bogdasarian RS, Olson NR (1980) Posterior glottis laryngeal stenosis. Otolaryngol Head Neck Surg 88:765–772

    PubMed  CAS  Google Scholar 

  • Bosley B, Rosen CA, Simpson CB et al (2005) Medial arytenoidectomy versus transverse cordotomy as a treatment for bilateral vocal fold paralysis. Ann Otol Rhinol Laryngol 114:922–926

    PubMed  Google Scholar 

  • Crumley RL (1993) Endoscopic laser medial arytenoidectomy for airway management of bilateral laryngeal paralysis. Ann Otol Rhinol Laryngol 102:81–84

    PubMed  CAS  Google Scholar 

  • Dedo HH, Sooy CD (1984) Endoscopic laser repair of posterior glottic, subglottic and tracheal stenosis by division or micro-trapdoor flap. Laryngoscope 94:445–450

    PubMed  CAS  CrossRef  Google Scholar 

  • Ekbom DC, Garrett CG, Yung KC et al (2010) Botulinum toxin injections for new onset bilateral vocal fold motion impairment in adults. Laryngoscope 12:758–763

    CrossRef  CAS  Google Scholar 

  • Gardner GM (2000) Posterior glottic stenosis and bilateral vocal fold immobility: diagnosis and treatment. Otolaryngol Clin North Am 33:855–877

    PubMed  CAS  CrossRef  Google Scholar 

  • Gardner GM, Courey MS, Ossoff RH (1995) Operative evaluation of airway obstruction. Otolaryngol Clin North Am 28:737–750

    PubMed  CAS  Google Scholar 

  • Goldberg AN (2000) Endoscopic postcricoid advancement flap for posterior glottis stenosis. Laryngoscope 110:48–485

    CrossRef  Google Scholar 

  • Hirshoren N, Eliashar R (2009) Wound-healing modulation in upper airway stenosis-myths and facts. Head Neck 31:111–126

    PubMed  CrossRef  Google Scholar 

  • Hoasjoe DK, Scott FW, Aarstad RF et al (1997) Posterior glottis stenosis mechanism and surgical management. Laryngoscope 107:675–679

    PubMed  CAS  CrossRef  Google Scholar 

  • Kashima HK (1991) Bilateral vocal fold motion impairment: pathophysiology and management by transverse cordotomy. Ann Otol Rhinol Laryngol 100:717–721

    PubMed  CAS  Google Scholar 

  • Montgomery WW (1973) Posterior and complete laryngeal (glottis) stenosis. Arch Otolaryngol 98:170–175

    PubMed  CAS  CrossRef  Google Scholar 

  • Montgomery WW, Cheney ML (1996) Laryngeal trauma. In: Fried MP (ed) The larynx, a multidisciplinary approach, 2nd edn. Mosby, St. Louis, pp 387–394

    Google Scholar 

  • Orloff LA (2002) The Hunsaker Mon-Jet ventilation tube for microlaryngeal surgery: optimal laryngeal exposure. Ear Nose Throat J 81:390

    PubMed  Google Scholar 

  • Ossoff RH, Karlan MS, Sisson GA (1983) Endoscopic laser arytenoidectomy. Lasers Surg Med 2:293–299

    PubMed  CAS  CrossRef  Google Scholar 

  • Ossoff RH, Duncavage JA, Shapshay SM et al (1990) Endoscopic laser arytenoidectomy revisited. Ann Otol Rhinol Laryngol 99:764–771

    PubMed  CAS  Google Scholar 

  • Perepelitsyn I, Shapshay SM (2004) Endoscopic treatment of laryngeal and tracheal stenosis-has mitomycin C improved the outcome? Otolaryngol Head Neck Surg 131:16–20

    PubMed  CrossRef  Google Scholar 

  • Rosen CA, Simpson CB (2008a) Anterior glottic web. In: Rosen CA, Simpson CB (eds) Operative techniques in laryngology. Springer, Berlin, pp 159–164

    Google Scholar 

  • Rosen CA, Simpson CB (2008b) Bilateral vocal fold paralysis. In: Rosen CA, Simpson CB (eds) Operative techniques in laryngology. Springer, Berlin, pp 167–174

    Google Scholar 

  • Rosen CA, Simpson CB, Courey MS (2008) Posterior glottic stenosis: endoscopic approach. In: Rosen CA, Simpson CB (eds) Operative techniques in laryngology. Springer, Berlin, pp 175–180

    Google Scholar 

  • Shapshay SM, Valdez TA (2003) Laryngeal stenosis. In: Ossoff RH, Shapshay SM, Woodson GE, Netterville JL (eds) The larynx. Lippincott, Philadelphia, pp 225–240

    Google Scholar 

  • Weymuller EA Jr (1988) Laryngeal injury from prolonged endotracheal intubation. Laryngoscope 98(Suppl):1–15

    PubMed  CrossRef  Google Scholar 

  • Whited RE (1984) A prospective study of laryngotracheal sequelae in long-term intubation. Laryngoscope 94:367–377

    PubMed  CAS  CrossRef  Google Scholar 

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Correspondence to Manish D. Shah M.D., M.Phil., FRCSC .

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Shah, M.D., Klein, A.M. (2013). Adult Glottic Stenosis. In: Kountakis, S.E. (eds) Encyclopedia of Otolaryngology, Head and Neck Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-23499-6_111

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  • DOI: https://doi.org/10.1007/978-3-642-23499-6_111

  • Publisher Name: Springer, Berlin, Heidelberg

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