Conclusion
Children with type I and II laryngeal webs mainly presented with
hoarseness and discomfort without any obvious respiratory distress.
Children were usually older when they were admitted to the hospital. The
patients with type I and II laryngeal webs recovered through one simple
endoscopic surgery, while children with type III and IV laryngeal webs
mainly exhibited hoarseness and respiratory distress, which required an
early tracheotomy. These children usually had a record of multiple
visits to the hospital with multiple treatments. The ultimate treatment
required for such patients was open laryngoplasty, combined with the
implantation of a T-tube, and reconstruction of the cricoid cartilage by
hyoid bone may play a crucial role in the treatment of congenital
laryngeal webs with subglottic stenosis. T-tube implantation is
effective in preventing the re-adhesion of the vocal cords. The
recommended duration for the T-tube implant is 6 months. The recommended
age for this surgery is 2 years old. The most common comorbidity of type
III and IV laryngeal webs was subglottic stenosis, which was likely
combined with other laryngeal diseases, such as vocal cord paralysis and
laryngomalacia, along with systemic diseases, such as atrial septal
defects.
List of abbreviations: CT computed tomography