Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Table of Contents - Year : 2017 | Month : May | Volume : 11 | Issue : 5 | Page : MD04 - MD06

A Misdiagnosed Laryngeal Web: Treated with an Innovative Self-Made Keel MD04-MD06

Kartik Anil Parelkar, Vandana P Thorawade, Keya A Shah, Ankur K Walli, Ankur H Pareek

Dr. Kartik Anil Parelkar,
102, Gomati apt, S.V. Road, Borivali West, Mumbai-400092, Maharashtra, India.

Laryngeal web is a rare congenital anomaly. Late presentation at the age of 10 years as in our case, with misleading diagnosis of asthma in a Cohenís type III glottic web is even rarer. In cases of congenital laryngeal web the aim is to provide a patent airway and to achieve a good voice quality. Regardless of the technique used; the primary concern is recurrence. Traditionally, the treatment of choice for laryngeal web was laryngofissure with placement of a keel however; endoscopic laser excision of the web with keel placement is now the preferred technique for thin anterior glottic webs. This endoscopic technique not only requires a Lichtenberger needle carrier but also the ready-made keel, which many of the government set-ups in our country cannot provide. For an alternative to this problem, we have described an innovative, minimally invasive technique for placement of a self-made silicone keel without any sophisticated instruments.