Endoscopic correction of severe laryngomalacia.
نویسندگان
چکیده
Tracheostomy for management of severe laryngomalacia is associated with significant morbidity and mortality. Two cases are reported wherein the laryngeal abnormality was corrected by ary-epiglottic fold incision and CO2 laser supraglottoplasty. Stridor and respiratory obstruction were relieved and a long term tracheostomy avoided. Endoscopic correction of laryngomalacia offers significant benefits over conventional treatment with tracheostomy in terms of decreased morbidity and improved quality of life.
منابع مشابه
Endoscopic laser for severe laryngomalacia.
Stridor in the pediatric age group needs detailed evaluation. Laryngomalacia, the commonest cause of stridor is mostly benign, but in about 10% patients can be an important cause of morbidity and mortality. Laser surgical correction in patients with severe laryngomalacia gives good results. We evaluated 32 patients of stridor. All were screened with fibreoptic laryngoscopy and whenever indicate...
متن کامل[Endoscopic supraglottoplasty in children with severe laryngomalacia with and without neurological impairment]
OBJECTIVE: To describe indications and results of supraglottoplasty for severe laryngomalacia in children with or without neurological impairment. METHODS: Eight children with severe laryngomalacia submitted to endoscopic supraglottoplasty were retrospectively studied. Four had neurological impairment (male, mean age 6 years), and 4 did not present neurological problems (3 female, mean age 11.5...
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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 ...
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Laryngomalacia is the most common cause of neonatal stridor, accounting for up to 60% of cases [1]. Less common causes of neonatal stridor include subglottic or tracheal stenosis, or congenital masses of the upper airway. Neonates with an identified congenital etiology of symptomatic upper airway obstruction often have synchronous airway lesions leading to multilevel airway obstruction. These i...
متن کاملLaryngomalacia and swallowing function in children.
OBJECTIVES/HYPOTHESIS 1) To determine the prevalence of dysphagia in children with laryngomalacia, 2) To ascertain whether severity of laryngomalacia influences the presence of swallowing dysfunction, and 3) To examine whether patients with medical comorbidities and laryngomalacia have a higher prevalence of swallowing dysfunction. STUDY DESIGN Retrospective cohort study. METHODS All patien...
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عنوان ژورنال:
- Indian journal of pediatrics
دوره 72 2 شماره
صفحات -
تاریخ انتشار 2005