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Congenital laryngeal web: causes, symptoms, signs and treatment

Definition:

Congenital web is a medical condition in which the child's trachea (windpipe) is obstructed due to formation of a layer of web-like tissue, whish results in breathing difficulties and other symptoms.

Causes
Incomplete canalization of the laryngeal lumen.
It is congenital, i.e it presents since birth, but is could be acquired in some cases.
Congenital-laryngeal-web-larryngoscope

Pathology: 
  • Commonest site is glottic, may extend to subglottis.
  • May be small, large, or imperforate fibrous ring.


Symptoms:

  • Small web: asymptomatic, hoarse cry, mild stridor.
  • Large web: weak hoarse cry, evident stridor.
  • Imperforate web: Cyanosis with no cry usually fatal.


Signs: 

  • Flexible or direct laryngoscopy: symmetrical grayish white membrane may be a semi translucent triangular band, or thick membrane.


Treatment of Congenital web:


Congenital-laryngeal-webcongenital-web

A. Mild if no symptoms ………… no treatment.
B. Severe
  • Tracheostomy if severe obstruction.
  • Excision of web by:

      - Microlaryngosurgery (MLS) using laser or cold instrument.
      - Laryngofissure in very thick web

C: Imperforate web: Urgent tracheostomy or rigid bronchoscope to rupture the web.
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Dr.Tamer Mobarak

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    1. I find it odd my daughter's was caused by medical malpractice , i haven't heard of anyone else talking about it ever happening to their child that way. She was almost 24hours old and the broke her nose or have taken cartilage. She's 2 now and still needs A Dr for it all.

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