Unilateral Endoscopic Supraglottoplasty for Severe Laryngomalacia
| Autor: | Steven M. Kelly, Steven D. Gray |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Male
Glottis medicine.medical_specialty Anesthesia General Laryngeal Diseases Bronchoscopy medicine Humans Laryngomalacia Respiratory sounds Child Respiratory Sounds Laryngoscopy medicine.diagnostic_test business.industry Incidence (epidemiology) Infant Endoscopy Retrospective cohort study General Medicine medicine.disease Surgery Treatment Outcome Otorhinolaryngology El Niño Child Preschool Anesthesia Acute Disease Failure to thrive Obstructive Apnea Female Laser Therapy Larynx medicine.symptom business |
| Zdroj: | Archives of Otolaryngology - Head and Neck Surgery. 121:1351-1354 |
| ISSN: | 0886-4470 |
| DOI: | 10.1001/archotol.1995.01890120011002 |
| Popis: | 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. (Arch Otolaryngol Head Neck Surg. 1995;121:1351-1354) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|