eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Laryngology

Glottic Stenosis: Follow-up

Author: Gauri Mankekar, MBBS, MS, PhD, DNB, Consulting Surgeon, Department of Otolaryngology, PD Hinduja National Hospital, India
Coauthor(s): Debbie A Eaton, MD, Private Practice; Alan D Murray, MD, Pediatric Otolaryngologist, ENT for Children; Full-Time Staff, Medical City Dallas Children's Hospital; Consulting Staff, Department of Otolaryngology, Medical Center of Lewisville, Children's Medical Center at Dallas, Cook Children's Medical Center; Full-Time Staff, Texas Pediatric Surgery Center, The Pediatric Surgery Center
Contributor Information and Disclosures

Updated: Sep 11, 2009

Outcome and Prognosis

Involvement of the glottis in subglottic stenosis has been found to have an unfavorable effect on outcome, although isolated glottic stenosis tends to have a significantly better outcome when compared with other areas of laryngeal stenosis.

Voice outcomes vary according to the method of treatment but are generally either unchanged or improved.

In adult-acquired laryngeal stenosis, the most important factors in predicting the rate and time of decannulation include the length of the stenotic segment and the anatomical site.

The applications of mitomycin-C or chitosan are being extensively investigated in canine subglottic stenosis and have shown promising anecdotal results in human subglottic stenosis.

Future and Controversies

Postoperative movement of the arytenoids in a patient with a stent may have a negative effect on the healing process.

Further investigation of the use of different stent materials and designs or botulinum toxin (in cases of vocal cord paralysis) is needed.

Recent reports suggest that mitomycin-C application is associated with airway complications from delayed wound healing in rabbits.20  This should be considered during the use of mitomycin-C in clinical practice.  

 


More on Glottic Stenosis

Overview: Glottic Stenosis
Workup: Glottic Stenosis
Treatment: Glottic Stenosis
Follow-up: Glottic Stenosis
Multimedia: Glottic Stenosis
References
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Further Reading

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Keywords

glottic stenosis, glottis, larynx, vocal cords, anterior or posterior commissure webs, scar, fibrosis, fixation, vocal cords, posterior glottis, larynx, supraglottis, glottis, subglottis, stenosis, subglottic stenosis, supraglottic stenosis, anterior web, posterior web , congenital glottic stenosis, acquired glottic stenosis, upper airway stenosis, laryngofissure, tracheotomy, keel, stent, aryepiglottic fold mucosal flap, trapdoor flap, traumatic intubation, congenital laryngeal web, endotracheal tube, endotracheal intubation, ET tube, ET intubation, adult-acquired laryngeal stenosis, mitomycin-C, Wegener granulomatosis, tuberculosis, sarcoidosis, rhinoscleroma, carbon dioxide laser, CO2 laser

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Contributor Information and Disclosures

Author

Gauri Mankekar, MBBS, MS, PhD, DNB, Consulting Surgeon, Department of Otolaryngology, PD Hinduja National Hospital, India
Gauri Mankekar, MBBS, MS, PhD, DNB is a member of the following medical societies: Association of Medical Consultants of Mumbai, Association of Otolaryngologists of India, and Cochlear Implant Group of India
Disclosure: Nothing to disclose.

Coauthor(s)

Debbie A Eaton, MD, Private Practice
Debbie A Eaton, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American Medical Association
Disclosure: Nothing to disclose.

Alan D Murray, MD, Pediatric Otolaryngologist, ENT for Children; Full-Time Staff, Medical City Dallas Children's Hospital; Consulting Staff, Department of Otolaryngology, Medical Center of Lewisville, Children's Medical Center at Dallas, Cook Children's Medical Center; Full-Time Staff, Texas Pediatric Surgery Center, The Pediatric Surgery Center
Alan D Murray, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American College of Surgeons, American Society of Pediatric Otolaryngology, Society for Ear, Nose and Throat Advances in Children, and Texas Medical Association
Disclosure: Nothing to disclose.

Medical Editor

John Schweinfurth, MD, Associate Professor, Department of Otolaryngology, University of Mississippi Medical Center
John Schweinfurth, MD is a member of the following medical societies: American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Gregory C Allen, MD, Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Gregory C Allen, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Laryngological Rhinological and Otological Society, American Medical Association, Christian Medical & Dental Society, and Colorado Medical Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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