A Misdiagnosed Laryngeal Web: Treated with an Innovative
Self-Made Keel
Published: May 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/27221.9908
Kartik Anil Parelkar, Vandana P Thorawade, Keya A Shah, Ankur K Walli, Ankur H Pareek
1. Senior Resident, Department of Ear, Nose and Throat, JJ Hospital, Mumbai, Maharashtra, India.
2. Associate Professor, Department of Ear, Nose and Throat, Solapur Government Medical College and Hospital, Mumbai, Maharashtra, India.
3. Senior Resident, Department of Ear, Nose and Throat, K.E.M Hospital, Mumbai, Maharashtra, India.
4. Resident, Department of Ear, Nose and Throat, JJ Hospital, Mumbai, Maharashtra, India.
5. Senior Resident, Department of Ear, Nose and Throat, K.E.M Hospital, Mumbai, Maharashtra, India.
Correspondence
Dr. Kartik Anil Parelkar,
102, Gomati apt, S.V. Road, Borivali West, Mumbai-400092, Maharashtra, India.
E-mail: kartikparelkar@gmail.com
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 Cohen’s 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.
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