Management of laryngomalacia in children with congenital syndrome: the role of supraglottoplasty
| Autor: | Rudolf Probst, Anette Escher, Claudine Gysin |
|---|---|
| Přispěvatelé: | University of Zurich, Escher, Anette |
| Rok vydání: | 2014 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Glottis 610 Medicine & health 10045 Clinic for Otorhinolaryngology Laryngomalacia Congenital Abnormalities Laryngoplasty Medicine Humans 2735 Pediatrics Perinatology and Child Health Child Retrospective Studies medicine.diagnostic_test business.industry Medical record Infant Retrospective cohort study Endoscopy General Medicine Syndrome medicine.disease 2746 Surgery medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Surgery Female Presentation (obstetrics) business |
| Zdroj: | Journal of pediatric surgery. 50(4) |
| ISSN: | 1531-5037 |
| Popis: | Background/Importance Supraglottoplasty is the surgical procedure of choice for severe laryngomalacia and has shown to be successful in most cases; however, patients with medical comorbidities present a higher rate of failure. To date, the best management of laryngomalacia in children with congenital syndrome remains unclear. Purpose To study the outcome of supraglottoplasty in children with severe laryngomalacia, and to analyze the management and outcome in infants with a congenital syndrome. Methods Retrospective medical records review from January 2003 to October 2012 of all patients who underwent laser supraglottoplasty for severe laryngomalacia at the University Children's Hospital Zurich, Switzerland. Results Thirty-one patients were included; median age at time of surgery was 3.5months. Three patients (10%) had a genetically proven congenital syndrome with associated neurologic anomalies. Overall success rate was 87%. Failures were observed in four (13%) of 31 cases; including all three patients presenting a congenital syndrome. Conclusions Supraglottoplasty is an effective and safe treatment for laryngomalacia in otherwise healthy children. Signs of a possible underlying predominant neurologic origin and discrepancy between the clinical presentation and the endoscopic findings have to be taken into account, as in children with congenital syndrome with neurologic anomalies the risk of failure is higher. |
| Databáze: | OpenAIRE |
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