European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
Hybrid external-endoscopic wendler glottoplasty: achieving scarless anterior synechia in the challenging larynx.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Haddad Ralph, Mouchon Emmanuelle, Mattei Alexia
Аннотация
BACKGROUND: Anterior commissure exposure is the primary challenge in Wendler glottoplasty, often hindering successful suturing in narrow or prominent larynges.
METHOD: We describe a "scarless" hybrid technique for difficult cases. Following fiber-laser de-epithelialization, two 18-gauge trocars are inserted percutaneously through the thyroid cartilage. A suture is passed through the trocars, retrieved endoscopically, and tied externally over a Silastic sheet, bypassing endolaryngeal space constraints. Hyaluronic acid is injected to reduce suture tension.
CONCLUSION: This combined approach salvages the procedure when endoscopic exposure is inadequate, ensuring a tight synechia without visible cervical scarring, optimizing outcomes for transgender patients.
METHOD: We describe a "scarless" hybrid technique for difficult cases. Following fiber-laser de-epithelialization, two 18-gauge trocars are inserted percutaneously through the thyroid cartilage. A suture is passed through the trocars, retrieved endoscopically, and tied externally over a Silastic sheet, bypassing endolaryngeal space constraints. Hyaluronic acid is injected to reduce suture tension.
CONCLUSION: This combined approach salvages the procedure when endoscopic exposure is inadequate, ensuring a tight synechia without visible cervical scarring, optimizing outcomes for transgender patients.