Unlabelled: Laryngomalacia is the condition responsible for 75% of the cases of stridor in children aged up to 30 months, in which there is supraglottic collapse during inhalation. Inspiratory stridor is a characteristic telltale. As many as 20% of the patients are severely affected and require surgery. Supraglottoplasty is the procedure of choice and the presence of comorbidities is the most relevant prognostic factor for surgery success.
Objective: To describe a series in a tertiary pediatric hospital, its success rates, and surgery prognostic factors.
Method: This retrospective cohort study enrolled 20 patients submitted to supraglottoplasty between July 2007 and May 2011.
Results: Thirteen (65%) patients were males; mean age at the time of the procedure was 6.32 months. Endoscopic examination showed that 12 subjects had combined forms of laryngomalacia, 40% had associated pharyngomalacia, and three also had tracheomalacia. Thirteen subjects had isolated laryngomalacia and seven had gastroesophageal reflux disease. Fifteen (75%) patients underwent aryepiglottic fold resection. After the procedure, eleven patients were asymptomatic and two required tracheostomy. Presence of comorbidities was the strongest predictor of unfavorable postoperative outcome (p = 0.034).
Conclusion: Supraglottoplasty is a safe therapeutical procedure for select patients with laryngomalacia.
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| http://dx.doi.org/10.5935/1808-8694.20120041 | DOI Listing |
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