Upon transfer to the emergency department the patient was noted to have soft stridor and a soft voice but oxygen saturation was normal. The patient was able to manage their own saliva and was not in any pain. Further history revealed progressive dysponea over the past twelve months and notably a difficult intubation two years earlier for a surgical procedure.
Nasendoscopy revealed an anterior glottic web. After failure to further improve with steroids, the patient proceeded to microlaryngoscopy the next day.