Rather than mucosa or mucus membrane covering each vocal fold individually, so that a crisp “V” is formed, a continuous sheet of mucosa joins the vocal folds together. An analogy may be made to the web between adjacent fingers. Glottic web may be congenital, or it may result from injury. Classic teaching is that surgeons ought not to operate on the anterior portion of both vocal folds simultaneously, because the raw, de-epithelialized surfaces may grow together and create an anterior glottic web. Some webs do not need to be addressed because the effect on voice is minimal; in other cases, surgical approaches are indicated because of the poor voice often associated with this abnormality.
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