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Surgical management of acquired anterior glottic web: a systematic review

Published online by Cambridge University Press:  18 September 2019

J M Fussey ,
D Borsetto ,
S Pelucchi  and
A Ciorba
J M Fussey*
Affiliation:
Department of Otolaryngology, Royal Devon and Exeter Hospital, UK
D Borsetto
Affiliation:
Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK
S Pelucchi
Affiliation:
Department of Otolaryngology, University Hospital of Ferrara, Italy
A Ciorba
Affiliation:
Department of Otolaryngology, University Hospital of Ferrara, Italy
*
Author for correspondence: Mr Jonathan Mark Fussey, Department of Otolaryngology, Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW, UK E-mail: jfussey@doctors.org.uk
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Abstract

Background

Acquired anterior glottic web poses a significant challenge to laryngologists given its propensity to recur following treatment, and there are a wide variety of described techniques.

Methods

A systematic review of the medical literature was undertaken in order to identify all articles pertaining to the management of acquired anterior glottic web.

Results

Thirteen studies meeting the inclusion criteria were identified and analysed. All were retrospective series, with varying surgical techniques and outcome measures. Only two studies reported on the use of topical mitomycin C.

Conclusion

Mucosal graft techniques and keel placement appear to improve success rates, but both carry risks and disadvantages. Based on the available evidence, the use of topical agents such as mitomycin C cannot be recommended in the management of acquired anterior glottic web.

Keywords

Acquired Laryngeal StenosisLasersMitomycin
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 10 , October 2019 , pp. 867 - 874
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Mr J M Fussey takes responsibility for the integrity of the content of the paper

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