Prevention over an 8-year period of laryngeal stenosis in LOGIC syndrome using a silastic keel

Summary 

Laryngeal stenosis is a key feature of LOGIC syndrome and maintaining patency is important to prevent loss of airway and voice. Loss of airway can be prevented via a tracheostomy. This will not preserve voice in a larynx which in this syndrome closes due to granulations and fusion of the cords. Previous work has reported maintaining a voice using mitomycin C over a 1-year period. We report a patient where we have been able to maintain a patent larynx and voice over an 8-year period using a silastic keel secured in the glottis to prevent restenosis.

Keywords: LOGIC syndrome, Laryngo-onycho-cutaneous syndrome, Laryngeal stenosis, Silastic keel