Glottic Web - Endoscopic Keel Placement, In Office Removal and a Few Pearls

Anterior glottic webs can cause significant dysphonia. Very often they are from surgery of the larynx. This is a video of a patient who had many surgeries for recurrent respiratory papillomatosis with a resultant anterior glottic web. Fixing the web can be done by endoscopically placing a silastic keel between the vocal folds after the web is incised. This prevents the vocal folds from healing back together and hence treats the web with much improvement in the voice. Some parts of this surgery can be d