Glottic web (1 of 12)
Glottic web, inflammatory, progressive, without antecedent trauma.

Glottic web (2 of 12)
Lab procedure: 11-blade attached to biopsy forceps, wrapped with tape to “guard” all but the tip.

Glottic web (3 of 12)
Web partially divided.

Glottic web (4 of 12)
Web fully divided.

Glottic web (5 of 12)
Vocal cords are re-adhering where the web was divided two weeks earlier.

Glottic web (6 of 12)
Biopsy forceps used to separate the adhesion.

Glottic web (7 of 12)
Slight bleeding at point of re-separation of the cords.

Glottic web (8 of 12)
Result (compare with photo 5).

Glottic web (9 of 12)
A depot form of steroid injection in the videoendoscopy laboratory (patient in chair). The intent is to abolish or diminish the inexorable re-adhesion of the vocal cords, sometimes many months after apparent complete healing and re-mucosalization. Note white submucosal material.

Glottic web (10 of 12)
Injection at apex of the web. Note condensed white submucosal steroid, from prior injection.

Glottic web (11 of 12)
16 months after last of a series of web divisions as depicted above. The web does not show any sign of re-forming. Compare with photos 1 and 2.

Glottic web (12 of 12)
Closer view, again showing maintenance of the deep V shape of the glottic aperture, rather than the short, fat U seen before web division. The patient has no shortness of breath.