Summary
Objectives
To introduce a novel surgical technique for the management of posterior glottic stenosis
(PGS).
Methods
Literature review (PubMed 1973-2020) and case example of a patient treated with novel
technique by principal investigator (R.T.S.)
Results
Numerous techniques for the treatment of PGS have had varying success. Our patient,
a 67-year-old male with a 2-year history of posterior glottic stenosis secondary to
multiple, prolonged intubations previously had been treated with several surgical
and medical interventions. Three weeks following an additional endotracheal intubation,
he presented to our office with PGS recurrence, exhibiting hoarseness, and shortness
of breath with any physical activity. He was treated with a silastic sheet placed
through a tunnel in the stenosis and sutured posteriorly as a stent. The stent was
removed 3 weeks later and the remaining stenosis was divided, successfully treating
our patient's PGS with long-term improvement in both respiratory and voice complaints.
This led to the design of a stent to be used for this purpose.
Conclusions
This new surgical technique addresses a complex clinical problem and provides otolaryngologists
with a minimally invasive option for the surgical treatment of PGS that offers advantages
over existing techniques. The two-stage procedure should reduce the risk of recurrence,
but more experience is needed. This novel implant may be a valuable tool in the treatment
of select patients with mild-moderate PGS.
Key Words
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Article info
Publication history
Published online: December 23, 2020
Accepted:
October 28,
2020
Footnotes
Disclosures/conflicts of interest: None.
Identification
Copyright
© 2020 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
