Newly Published
Images in Anesthesiology  |   January 2020
Glottic Web: An Abnormal Cry for Help
Author Notes
  • From the Department of Anesthesiology (T.W.T., A.S.H.) and Department of Otolaryngology and Head and Neck Surgery (E.P.K., T.L.F.), Wake Forest School of Medicine, Winston-Salem, North Carolina.
  • Correspondence: Address correspondence to Dr. Templeton: ttemplet@wakehealth.edu
Article Information
Images in Anesthesiology / Respiratory System
Images in Anesthesiology   |   January 2020
Glottic Web: An Abnormal Cry for Help
Anesthesiology Newly Published on January 29, 2020. doi:https://doi.org/10.1097/ALN.0000000000003163
Anesthesiology Newly Published on January 29, 2020. doi:https://doi.org/10.1097/ALN.0000000000003163
A glottic web is a rare congenital malformation (1:10,000) that results from failure of epithelial layer resorption at the laryngotracheal groove leading to the formation of a membranous connection between the vocal folds (panel A, yellow arrow).1  Infants will frequently exhibit symptoms early in life, including stridor or an abnormal cry.1 
Before diagnosis, a glottic web may be missed during initial elective airway management if clinicians are unsuspecting. Typically, it appears as a blunting of the normally sharp angle between the vocal folds. This is illustrated in the comparison of panels A and B, where panel B demonstrates a more normal appearing glottis after repair of the web in panel A.