Laryngeal Web Excision
Laryngeal web excision is a surgical procedure performed to remove a thin membrane (web) that forms between the vocal cords, partially blocking the airway and affecting voice production.
Laryngeal webs can be congenital or acquired due to trauma, surgery, prolonged intubation, or inflammation.
These webs can cause hoarseness, weak voice, breathing difficulty, and airway obstruction depending on their size and location.
Surgical excision using endoscopic or laser techniques is the standard treatment to restore normal vocal cord movement and airway patency.
What is a Laryngeal Web
Anatomy and pathology
A laryngeal web is a band of tissue that forms between the vocal cords, usually at the anterior commissure. It can be present at birth or develop after trauma or surgery.
The web restricts vocal cord vibration and airway opening, leading to voice and breathing problems. Early identification is important, especially in children, to prevent long-term speech and airway issues.
- Congenital web Present from birth due to abnormal laryngeal development during fetal growth.
- Acquired web Develops after surgery, trauma, infection, or prolonged intubation.
- Partial web Covers a small portion of the vocal cords and mainly affects voice quality.
- Complete web Extensive membrane that significantly obstructs the airway and requires urgent surgical treatment.
Symptoms and Evaluation
Clinical features and diagnostics
Patients with laryngeal webs may experience hoarseness, weak or breathy voice, difficulty breathing, and in severe cases, stridor. Children may present with weak cry or breathing difficulty from birth.
Evaluation involves detailed ENT examination, laryngoscopy, and imaging when necessary to determine the extent and thickness of the web.
- Voice changes Persistent hoarseness, weak voice, or abnormal pitch due to restricted vocal cord movement.
- Breathing issues Shortness of breath or noisy breathing if the web obstructs airflow.
- Endoscopic assessment Direct visualization of the vocal cords to assess web size and location.
- Imaging studies CT or MRI may be used in complex cases to evaluate airway anatomy.
Surgical Procedure and Recovery
Excision techniques and postoperative care
Laryngeal web excision is typically performed using endoscopic techniques under general anesthesia. CO2 laser or cold instruments are used to carefully remove the web while preserving vocal cord tissue.
In some cases, a keel (small spacer) may be placed to prevent re-adhesion of the vocal cords. Postoperative voice rest, speech therapy, and follow-up laryngoscopy are essential for optimal recovery.
- Endoscopic laser excision Precise laser removal of the web with minimal damage to surrounding tissues.
- Cold instrument excision Microsurgical tools used to excise the web under magnification.
- Keel placement Temporary spacer to prevent recurrence and promote proper healing.
- Voice therapy Postoperative speech therapy to restore normal voice function and prevent strain.
Why Choose CureU Healthcare
CureU Healthcare offers specialized expertise in laryngeal microsurgery and voice disorders. Our ENT surgeons use high-precision endoscopic and laser technologies to ensure safe and effective removal of laryngeal webs while preserving vocal cord function.
We provide comprehensive preoperative evaluation, individualized surgical planning, and structured postoperative voice rehabilitation programs.
Our patient-centered approach ensures clear communication, emotional support, and long-term follow-up to achieve the best functional and voice outcomes.
- Voice-specialized ENT experts Surgeons experienced in microsurgery and professional voice care.
- Advanced laser technology State-of-the-art CO2 laser systems for precise tissue removal.
- Comprehensive rehabilitation Integrated speech therapy and voice training for optimal recovery.
- Holistic patient care Personalized treatment plans, counseling, and long-term monitoring.
Conclusion
Laryngeal web excision is a highly specialized surgical procedure that can significantly improve voice quality and airway function. Early diagnosis and timely surgical intervention are essential to prevent long-term voice and breathing complications.
With advancements in endoscopic and laser microsurgery, outcomes have become highly favorable with minimal tissue damage and faster recovery. CureU Healthcare combines surgical precision, voice rehabilitation, and compassionate patient care to ensure optimal functional recovery and improved quality of life for patients with laryngeal webs.
