{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T21:35:40Z","timestamp":1771018540542,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T00:00:00Z","timestamp":1627948800000},"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":[[2022,3]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Anterior glottic stenosis (AGS) results from surgical intervention, carcinoma, papillomatosis, congenital, or idiopathic causes. It may be present as elastic web or fibrotic scar. It impairs vocal function and glottic airway. Reconstructive options include resection and placement of a keel or glottic web\u2010based mucosal flaps to prevent restenosis. These methods may not be sufficient for reconstructing a thick anterior scar and may require multiple interventions. The aim of the study was to describe the anterior subglottic mucosal flap (ASGMF), a one\u2010stage, keel\u2010free technique for AGS repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A retrospective cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with AGS were operated using the ASGMF between 2017 and 2020. The stenotic segment was excised, and then an ASGMF was developed. A unilateral oblique incision was performed to allow rotation and advancement of the flap toward the contralateral vocal fold. The flap was sutured to the mucosal edge of the vocal fold to create mucosal continuity and prevent restenosis. Vocal fold length ratio (VFLR), which is between the free part and the total vocal fold length, as well as stroboscopic measures, were calculated before and after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve patients were enrolled. Etiologies were iatrogenic, dysplasia, papillomatosis, carcinoma, and congenital. Average VFLR improved from 0.33 to 0.87 (<jats:italic>P<\/jats:italic>\u2010value\u2009&lt;\u2009.0001). Median amplitude and mucosal wave propagation improved from 12.3% and 9.5% to 28.6% and 22.7%, respectively (<jats:italic>P<\/jats:italic>\u2010values\u00a0=\u00a0.0278, .0385). Phase symmetry improved from 24.5% to 60.9% (<jats:italic>P<\/jats:italic>\u2010value\u00a0=\u00a0.0413). No complications were encountered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ASGMF for AGS is an effective surgical procedure, allowing for one stage, keel\u2010free reconstruction of the anterior commissure. ASGMF can significantly elongate the free portion of the vocal folds and improve vibratory function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4<jats:italic>Laryngoscope<\/jats:italic>, 132:612\u2013618, 2022<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29799","type":"journal-article","created":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T13:20:14Z","timestamp":1627996814000},"page":"612-618","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Subglottic Mucosal Flap: Endoscopic Single\u2010Stage Reconstruction for Anterior Glottic Stenosis"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5535-9235","authenticated-orcid":false,"given":"Yonatan","family":"Lahav","sequence":"first","affiliation":[{"name":"Faculty of Medicine Hebrew University of Jerusalem Jerusalem Israel"},{"name":"Department of Otolaryngology, Head and Neck surgery Kaplan Medical Center Rehovot Israel"},{"name":"A.R.M. Center of Otolaryngology Head and Neck Surgery Assuta Medical Center Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6655-5605","authenticated-orcid":false,"given":"Meir","family":"Warman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hebrew University of Jerusalem Jerusalem Israel"},{"name":"Department of Otolaryngology, Head and Neck surgery Kaplan Medical Center Rehovot Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doron","family":"Halperin","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hebrew University of Jerusalem Jerusalem Israel"},{"name":"Department of Otolaryngology, Head and Neck surgery Kaplan Medical Center Rehovot Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8666-3571","authenticated-orcid":false,"given":"Oded","family":"Cohen","sequence":"additional","affiliation":[{"name":"Faculty 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