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Use of bovine pericardium for the treatment of anterior iatrogenic glottic web
Author(s) -
Zapater Enrique,
Oishi Natsuki,
Arribas Mar,
Hernández Rosa,
López Isabel,
Basterra Jorge
Publication year - 2019
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27715
Subject(s) - valencia , medicine , general hospital , throat , nose , medical school , general surgery , surgery , medical education , biology , ecology
Treatment of anterior glottic web is challenging, but regardless of the surgical approach, the goal is to resect the web and prevent recurrence. The aim of this article was to introduce a new material, bovine pericardium (BP), for stenting the anterior commissure. BP has not yet been used in laryngeal surgery, although it has been widely employed as a patch in vascular, cardiac, thoracic, and urological surgery. Commercial patches are processed to make them acellular, thus preventing the transplantation of DNA. Herein we present four cases demonstrating our surgical method and highlighting the advantages of BP in the treatment of anterior glottic web. To achieve this objective, we performed preand postoperative laryngoscopy and voice evaluation. Voice outcomes were studied using the Grade, Roughness, Breathiness (GRB) scale and Voice Handicap Index (VHI).