Outcomes of Injection Laryngoplasty for Deep Interarytenoid Groove.

Autor: Mothersole KH; Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States., Ulualp SO; Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.; Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States., Johnson RF; Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.; Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States., Brown AF; Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States., Shah GB; Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.; Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States., Liu CC; Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.; Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States., Chorney SR; Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.; Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States.
Jazyk: angličtina
Zdroj: International archives of otorhinolaryngology [Int Arch Otorhinolaryngol] 2023 Oct 06; Vol. 28 (1), pp. e101-e106. Date of Electronic Publication: 2023 Oct 06 (Print Publication: 2024).
DOI: 10.1055/s-0043-1767800
Abstrakt: Introduction  Deep interarytenoid groove (DIG) may cause swallowing dysfunction in children; however, the management of DIG has not been established. Objective  We evaluated the subjective and objective outcomes of interarytenoid augmentation with injection in children with DIG. Methods  Consecutive children under 18 years of age who underwent injection laryngoplasty for DIG were reviewed. Data pertaining to demographics, past medical history, past surgical history, and results of pre and postoperative video fluoroscopic swallow study (VFSS) were obtained. The primary outcome measure was the presence of thin liquid aspiration or penetration on postoperative VFSS. The secondary outcome measure was caregiver-reported improvement of symptoms. Results  Twenty-seven patients had VFSS before and after interarytenoid augmentation with injection (IA). Twenty (70%) had thin liquid penetration and 12 (44%) had thin liquid aspiration before the IA. Thin liquid aspiration resolved in 9 children (45%) and persisted in 11 (55%). Of the 12 children who had thin liquid aspiration prior to IA, 6 (50%) had resolution of thin liquid aspiration after IA. Conclusions  Injection laryngoplasty is a safe tool to improve swallowing function in children with DIG. Further studies are needed to assess the long-term outcomes of IA and identify predictors of successful IA in children with DIG.
Competing Interests: Conflict of Interests The authors have no conflict of interests to disclose.
(The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ( https://creativecommons.org/licenses/by/4.0/ ).)
Databáze: MEDLINE
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