S M Kelly1, S D Gray. 1. Division of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Md, USA.
Abstract
OBJECTIVE: To evaluate the effectiveness of unilateral supraglottoplasty in the treatment of children with severe laryngomalacia. DESIGN: Retrospective study. SETTING: Pediatric tertiary referral center. PATIENTS: Eighteen children with severe laryngomalacia. Indications for surgical intervention were obstructive apnea, failure to thrive, cyanosis, and/or cor pulmonale. INTERVENTIONS: Unilateral carbon dioxide laser removal of redundant supraglottic tissue (supraglottoplasty). OUTCOME MEASURES: Evaluation of relief of symptoms, need for subsequent contralateral procedure, and incidence of complications. RESULTS: Three patients required treatment of the opposite side at a later date. There were no complications. Obstructive apnea and weight gain improved in all. CONCLUSIONS: Unilateral supraglottoplasty can be used to treat severe laryngomalacia in most patients. A small percentage of patients will subsequently require a contralateral procedure. Unilateral supraglottoplasty may have less risk of complications than bilateral supraglottoplasty.
OBJECTIVE: To evaluate the effectiveness of unilateral supraglottoplasty in the treatment of children with severe laryngomalacia. DESIGN: Retrospective study. SETTING: Pediatric tertiary referral center. PATIENTS: Eighteen children with severe laryngomalacia. Indications for surgical intervention were obstructive apnea, failure to thrive, cyanosis, and/or cor pulmonale. INTERVENTIONS: Unilateral carbon dioxide laser removal of redundant supraglottic tissue (supraglottoplasty). OUTCOME MEASURES: Evaluation of relief of symptoms, need for subsequent contralateral procedure, and incidence of complications. RESULTS: Three patients required treatment of the opposite side at a later date. There were no complications. Obstructive apnea and weight gain improved in all. CONCLUSIONS: Unilateral supraglottoplasty can be used to treat severe laryngomalacia in most patients. A small percentage of patients will subsequently require a contralateral procedure. Unilateral supraglottoplasty may have less risk of complications than bilateral supraglottoplasty.
Authors: Nikolay R Sapundzhiev; Lora T Nikiforova; George S Stoyanov; Ivan Valkadinov; Petya Genova; Vilian Platikanov Journal: Cureus Date: 2019-10-10