Summary
Purpose
This study was performed to introduce a modified procedure involving a combination
of bilateral vocal fold mucosal flaps and microsurgical sutures for the management
of anterior glottic webs and to study its efficacy in decreasing the recurrence rate
and improving voice quality.
Methods
We retrospectively reviewed 102 patients with anterior glottic webs who underwent
surgical treatment by a carbon dioxide laser incision with or without microsurgical
suturing in our hospital from May 2014 to April 2021. We focused on the reoperation
rate and the voice outcomes based on the 30-item Voice Handicap Index.
Results
This study included 102 patients with anterior glottic webs, which were caused by
papilloma excision and endoscopic laryngocarcinoma resection in 97 (95.1%) of the
102 patients; less common causes were infection and traumatic injury. All incisions
were performed along the midline with a carbon dioxide laser under microscopy and
a self-retaining laryngoscope; 37 (36.3%) patients underwent microsurgical suturing
and 65 (63.7%) patients did not. The microsuture group had a lower reoperation rate
(χ2 = 7.069, P = 0.0078) and higher voice quality (t = 2.054, P = 0.0462) than the non-microsuture group.
Conclusions
We introduced a modified procedure that can both decrease the recurrence rate and
improve the voice quality in patients with anterior glottic webs. Hence, this combination
therapy involving bilateral vocal fold mucosal flaps and microsurgical sutures is
worthy of clinical application and promotion.
Key Words
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Article info
Publication history
Published online: September 17, 2022
Accepted:
August 11,
2022
Publication stage
In Press Corrected ProofFootnotes
This study was supported by the National Key R&D Program of China (2020YFC1316903); National Natural Science Foundation of China (81972528); 5010 Clinical Research Program of Sun Yat-sen University (2017004); China Postdoctoral Science Foundation (2021M703712).
Identification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
