{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T02:56:02Z","timestamp":1767927362163,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T00:00:00Z","timestamp":1545782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Many surgical methods have been described for the treatment of glottic web, with very little experience of each. Butterfly mucosal flap technique utilizes superior and inferior mucosal flaps on corresponding surfaces of the web; superior flap is elevated with its base on one vocal fold; and inferior flap is elevated with its base on the other vocal fold. These flaps are sutured to the vocal fold where flap's base is located. This requires four to six microsutures. The disadvantage of this technique is its difficulty. The advantages are single\u2010stage endoscopic outpatient surgery and high success rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is an individual prospective cohort study. All consecutive 12 cases of glottic web were treated with butterfly mucosal flap technique and followed for at least 1 year postoperatively. Voice Handicap Index (VHI)\u201030 including physical, functional, emotional, and total scores; acoustic analysis with \/a\/; aerodynamic measures; and respiratory function tests with a spirometer were determined pre\u2010 and postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six patients were male; five were female; and one was male\u2010to\u2010female transsexual. Their ages ranged between 9 and 60 years with a mean of 36. All webs were caused by surgical trauma. All webs were cured with one surgery. The postoperative VHI scores, acoustic analysis results, aerodynamic measures, and respiratory function test results of patients improved significantly postoperatively (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although technically difficult, butterfly mucosal flap technique is a very successful single\u2010stage endoscopic surgical option for the treatment of glottic webs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 129:1423\u20131427, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27531","type":"journal-article","created":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T13:17:12Z","timestamp":1545830232000},"page":"1423-1427","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Surgical treatment of glottic web using butterfly mucosal flap technique: Experience on 12 patients"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8999-3237","authenticated-orcid":false,"given":"Taner","family":"Y\u0131lmaz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Hacettepe University Faculty of Medicine Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2008.04.008"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200205000-00029"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.3760\/cma.j.issn.0366-6999.20132832","article-title":"Vocal cord mucosal flap for the treatment of acquired anterior laryngeal web","volume":"127","author":"Xiao Y","year":"2014","journal-title":"Chin Med J 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new minimally invasive procedure for treatment of anterior glottic web","volume":"23","author":"Bhongmakapat T","year":"2000","journal-title":"Rama Med J"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2011.01.010"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198409000-00009"}],"container-title":["The 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