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Surgical management of acquired anterior glottic web: a systematic review

  • J M Fussey (a1), D Borsetto (a2), S Pelucchi (a3) and A Ciorba (a3)

Abstract

Background

Acquired anterior glottic web poses a significant challenge to laryngologists given its propensity to recur following treatment, and there are a wide variety of described techniques.

Methods

A systematic review of the medical literature was undertaken in order to identify all articles pertaining to the management of acquired anterior glottic web.

Results

Thirteen studies meeting the inclusion criteria were identified and analysed. All were retrospective series, with varying surgical techniques and outcome measures. Only two studies reported on the use of topical mitomycin C.

Conclusion

Mucosal graft techniques and keel placement appear to improve success rates, but both carry risks and disadvantages. Based on the available evidence, the use of topical agents such as mitomycin C cannot be recommended in the management of acquired anterior glottic web.

Copyright

Corresponding author

Author for correspondence: Mr Jonathan Mark Fussey, Department of Otolaryngology, Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW, UK E-mail: jfussey@doctors.org.uk

Footnotes

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Mr J M Fussey takes responsibility for the integrity of the content of the paper

Footnotes

References

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Keywords

Surgical management of acquired anterior glottic web: a systematic review

  • J M Fussey (a1), D Borsetto (a2), S Pelucchi (a3) and A Ciorba (a3)

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