{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T01:19:09Z","timestamp":1787966349961,"version":"build-2784847793"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T00:00:00Z","timestamp":1471996800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To demonstrate that reconstructive transoral laser microsurgical (R\u2010TLM) techniques can be used for the treatment of symptomatic laryngeal posterior glottic web\u2013based stenosis (PGWS) in a large cohort of patients utilizing a postcricoid mucosal advancement flap (PCMAF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A consecutive series of patients with PGWS who underwent R\u2010TLM using a PCMAF were reviewed for outcomes. After laser excision of the PGWS scar and mobilization of fixed cricoarytenoid joints, a PCMAF was raised using microinstruments and a scanning free\u2010beam CO<jats:sub>2<\/jats:sub> laser. The flap was advanced and attached over the scar bed using a technique with multiple novel features that make it easy to adopt.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010two patients were treated. Of the cases, 42.3% had a tracheostomy at presentation with grade II to IV PGWS, and 46% of cases had grade III to IV PGWS. In all cases, R\u2010TLM was the only treatment approach. No open reconstructions were performed. No airway stents were used. Patients without tracheostomy, regardless of the grade of stenosis, did not require a tracheostomy to undergo this operation. All tracheostomy patients were successfully decannulated. All patients without a tracheostomy had significant improvement of their respiratory symptoms on the Dyspnea Index (mean \u0394 = 14.75, <jats:italic>P<\/jats:italic> value &lt;.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>RTLM using the PCMAF is a feasible, safe, and effective alternative to open approaches for airway reconstruction for PGWS. This novel transoral technique includes a much simpler endoscopic suturing alternative to knot tying among other new features. It is reproducible and reliable for laryngologists familiar with laryngeal microsurgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 127:685\u2013690, 2017<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.26212","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T13:22:52Z","timestamp":1472044972000},"page":"685-690","source":"Crossref","is-referenced-by-count":42,"title":["Reconstructive transoral laser microsurgery for posterior glottic web with stenosis"],"prefix":"10.1002","volume":"127","author":[{"given":"Ihab","family":"Atallah","sequence":"first","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery University of Alabama at Birmingham Birmingham Alabama U.S.A."},{"name":"Otolaryngology\u2013Head and Neck Surgery Department Grenoble University Hospital Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Krishniah","family":"Manjunath","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery University of Alabama at Birmingham Birmingham Alabama U.S.A."},{"name":"Department of Surgery Colombia Asia Referral Hospital Yeshwanthpur Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Al","family":"Omari","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery University of Alabama at Birmingham Birmingham Alabama U.S.A."},{"name":"Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine Jordan University of Science and Technology Irbid Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian Adrien","family":"Righini","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery Department Grenoble University Hospital Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul F.","family":"Castellanos","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery University of Alabama at Birmingham Birmingham Alabama 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