Abstract
A 55-years-old female with iatrogenic laryngeal web was reported. Fiber scopic examination revealed a wide web around her anterior commisure and movement of bilateral vocal folds was restricted. After this web was removed under a direct laryngoscope, thyrotomy was performed.
Upper surface and lower surface of the sectioned vocal fold membrane was sutured using absorbable stitches. The cut-edge of the laryngeal mucosa around the anterior commissure was sutued to the fascia of the sternohyoid muscle, preventing web formation. After this operation prosedure, her vocal functions, such as MPT and MFRc, improved well. As for the treatment of laryngeal web, when web is thin and small, web might be removed under a direct laryngoscope, while web should be removed under thyrotomy, when web is thick and large.