We herein report a case of anterior glottic web with a review of the relevant literature. A 35-year-old woman with a chief complaint of hoarseness visited our hospital. Her symptom occurred after frequent vomiting due to vomiting diarrhea. Laryngoscopy revealed anterior glottic web. Endoscopic resection was performed and a silicon plate was placed at the anterior part of the glottis to prevent anterior glottic adhesion postoperatively. We removed the silicon plate 35 days after the first operation. Although granulation and erosion were detected on the anterior commissure and the anterior part of the left vocal fold, there was no glottic adhesion and her VHI-10 and acoustic analysis results mostly improved. This is the first report of anterior glottic web caused by vomiting. In the management of anterior glottic web, the prevention of reformation is important. Placing a silicon plate at the glottis can not only prevent reformation of the web but also adhesion at the posterior part of the membranous portion of the vocal fold. However the hardness of the silicon plate means that placement at the glottis can lead to the development of granulation and erosion on the vocal fold. For similar cases, we are going to create a silicon plate attached to a soft silicon tube, which will be advantageous for preventing anterior glottic web.
