Anterior glottic webs

Anterior glottic webs can be acquired or congenital. Surgery is indicated for airway restriction or symptomatic dysphonia. Comorbidities should be addressed before intervention. Approaches include open or endoscopic approaches. The current review focuses on two common endoscopic approaches, the endoscopic flap and endoscopic keel placement. These procedures generally have high success rates; many of the associated postoperative complications can be avoided simply with close attention to detail during the initial procedure, although a small percentage of patients are likely predisposed to web reformation and development of granulation tissue despite excellent surgical technique.