Work

A new endoscopic keel placement technique for anterior laryngeal web treatment in a child with a large posterior mediastinal mass: A case report

Year: 2025

Type: article

Abstract: Congenital laryngeal webs are rare and characterized by feeble cries or dysphonia. However, if these webs are too large, it can cause stridor and respiratory distress. It is reported that this condition is associated with microdeletion of the 22q11 chromosome. Here, we report a case in which a large mediastinal mass obscured the symptoms of a large laryngeal web. Administering general anaesthesia to the child was associated with significant risk. After web resection, a novel technique was used to place a sialistic keel in the larynx to prevent further scarring and web formation. The suture of the keel was placed outside the thyroid cartilage to facilitate easy removal at six weeks under sedation without requiring re-intubation.

Source: Otolaryngology Case Reports

DOI: 10.1016/j.xocr.2025.100661

Authors: Soumi Pathak, Vikas Arora, Shreya Rai

Institution: Rajiv Gandhi Cancer Institute and Research Centre

Language: English

Topic: Tracheal and airway disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,110