Abstract
Laryngeal web is a relatively rare disease. However its treatment has attracted the attention of laryngologists. We encountered a very severe case of recurrence of laryngeal web caused by the laryngofissure undergone 27 years ago. There are two surgical approaches for laryngeal web, i. e. direct laryngoscopy and laryngofissure. In the present case, laryngofissure was performed and an umbrella silicone keel was used to prevent readhesion. Although now a day, laryngofissure has been seldomly performed for the treatment of laryngeal web, it proved very effective to prevent the adhesion of the anterior glottis in the present case. A. silicone keel was specially made and used based on Montgomery's report. As far as postoperative voice quality is concerned, this technique is not satisfactory. However, it provides a favorable result with respect to airway patency without any postoperative granuration tissue or readhesion.
