Glottic stenosis

Semin Pediatr Surg. 2016 Jun;25(3):132-7. doi: 10.1053/j.sempedsurg.2016.02.003. Epub 2016 Feb 21.

Abstract

Glottic stenosis is a fixed, focal narrowing at the level of the laryngeal inlet, the true vocal cords. It may be either congenital or acquired and be related to a wide range of etiologies. The stenosis may be either anterior, posterior, or in rare cases, complete. Isolated glottic stenosis is rare; lesions often involve adjacent regions, namely the subglottis. A diagnosis is made from careful history and examination, including evaluation by microlaryngoscopy and bronchoscopy. The management of glottic stenosis is challenging and should be tailored to each individual case. A secure and adequate airway is the treatment priority alongside optimization of voice and laryngeal competence. Endoscopic and open techniques in either single or multiple stages have been described.

Keywords: Glottic; Laryngeal; Pediatric; Stenosis; Web.

Publication types

  • Review

MeSH terms

  • Airway Management / methods
  • Bronchoscopy
  • Combined Modality Therapy
  • Humans
  • Laryngoscopy
  • Laryngostenosis* / diagnosis
  • Laryngostenosis* / etiology
  • Laryngostenosis* / therapy
  • Stents