A Misdiagnosed Laryngeal Web: Treated with an Innovative Self-Made Keel
Autor: | Ankur Kirankumar Walli, Vandana Thorawade, Keya Shah, Kartik Parelkar, Ankur H Pareek |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Patent airway Clinical Biochemistry Laryngeal web Laryngoscopy lcsh:Medicine Late presentation 03 medical and health sciences 0302 clinical medicine Congenital laryngeal web medicine endoscopy 030223 otorhinolaryngology laryngoscopy glottic web medicine.diagnostic_test business.industry General surgery lcsh:R General Medicine Endoscopy 030228 respiratory system Ear Nose and Throat Section Keel (bird anatomy) business voice quality |
Zdroj: | Journal of Clinical and Diagnostic Research, Vol 11, Iss 5, Pp MD04-MD06 (2017) |
Popis: | 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. |
Databáze: | OpenAIRE |
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