Abstract |
Controversy exists as to the preferred treatment modality for managing refractory pediatric laryngomalacia (LM). Simultaneous bilateral procedures have been associated with supraglottic stenosis. Unilateral operations have a higher rate of secondary intervention. This prospective study was conceptualized to ascertain a preferred approach. A secondary goal was to correlate the surgical outcome with presenting symptoms and signs. Twenty-two children with severe LM met the criteria for enrollment. Bilateral CO(2) laser-assisted supraglottic laryngoplasties were performed in all cases. The procedure mainly consisted of division of the aryepiglottic fold. Nineteen (86%) patients met our defined success criteria. There were no surgical complications. Bilateral supraglottic laryngoplasty has a role in the management of severe refractory LM.
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Authors | Sachin Gandhi, Vasant Oswal, Pallavi Thekedar, Prasun Mishra |
Journal | 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
(Eur Arch Otorhinolaryngol)
Vol. 268
Issue 10
Pg. 1479-83
(Oct 2011)
ISSN: 1434-4726 [Electronic] Germany |
PMID | 21604072
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Child, Preschool
- Female
- Follow-Up Studies
- Humans
- Infant
- Infant, Newborn
- Laryngomalacia
(diagnosis, surgery)
- Laryngoscopy
- Laser Therapy
(instrumentation)
- Lasers, Gas
(therapeutic use)
- Male
- Natural Orifice Endoscopic Surgery
(methods)
- Otorhinolaryngologic Surgical Procedures
(methods)
- Retrospective Studies
- Severity of Illness Index
- Treatment Outcome
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