Objective: Cyclic alternanting pattern (CAP) has been considered a marker of sleep instability in children. The aim of this study was to evaluate the CAP in infants with laryngomalacia.
Material And Methods: CAP were quantified in 15 infants with laryngomalacia (mean age 167.2±97.21 days) and 10 controls (mean age of 158.5±116.2 days) using polysomnography.
Results: The distribution of the A2 subtypes across NREM stages in infants with laryngomalacia showed a decrease, as well as in the mean duration of CAP sequences. The A3 CAP and arousals increased in infants with laryngomalacia. Our data showed a stronger correlation between the mean duration of A1 CAP and the age in healthy controls than in infants with laryngomalacia. In accordance to previous reports infants with laryngomalacia exhibited an increase in total awake time, apnea-hypopnea index, and a decrease in N3 stage compared to controls.
Discussion: Our findings add to a growing body of literature of CAP as an indicator of brain maturation.
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http://dx.doi.org/10.5935/1984-0063.20210017 | DOI Listing |
Braz J Otorhinolaryngol
January 2025
Children's Hospital of Fudan University, Department of Otolaryngology-Head and Neck Surgery, Shanghai, China. Electronic address:
Objectives: Lingual Thyroglossal Duct Cysts (LTDCs) are a rare variant of thyroglossal duct Cyst (LDC). This study aimed to explore the efficacy of transoral excision of LTDC and evaluate the added benefit of concomitant management of laryngomalacia during the surgical intervention.
Methods: Infants with LTDCs were retrospectively collected from our department from January 2009 to January 2022.
Am J Otolaryngol
November 2024
Surgery, Division of Otolaryngology, University of New Mexico Hospital, Albuquerque, NM, USA. Electronic address:
Introduction: There is a paucity of literature on pre-adolescent paradoxical vocal fold motion (PVFM), PVFM is a sub-type of inducible laryngeal obstruction. Studies typically focus on older patients, however the discovery of this entity in pre-adolescent pediatric patients has led to more questions about how this entity manifests differently and is treated differently in younger populations. Initially considered psychosomatic and commonly mistaken for asthma, PVFM etiology is now thought to be associated underlying neurologic conditions and may have irritant triggers with proposed mechanisms related to laryngeal hypersensitivity.
View Article and Find Full Text PDFImmunol Allergy Clin North Am
February 2025
Bergen ILO-group, Haukeland University Hospital, Bergen, Norway; Institute of Sports Medicine, Norwegian School of Sport Science, Oslo, Norway.
This review provides an overview of existing data from the literature summarizing therapies for exercise-induced laryngeal obstruction (EILO) with 2 main areas of focus. We discuss the role of speech-language pathologists in the assessment and treatment of EILO and an overview of different respiratory retraining techniques used in the behavioral management of the disease. We then discuss the role and some of the technical specifics of supraglottoplasty (SGP) for refractory supraglottic EILO, including patient selection and similarities between SGPs performed for EILO and for infants with laryngomalacia.
View Article and Find Full Text PDFLin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
November 2024
To explore whether a portable monitor device(PMD) can be used to evaluate the efficacy of supraglottoplasty(SGP) in neonates with severe laryngomalacia(LM). A retrospective analysis of 11 neonates diagnosed as severe LM treated in our hospital from January 2020 to November 2023 was performed. All neonates underwent SGP under general anesthesia and overnight PMD monitoring before and after surgery.
View Article and Find Full Text PDFOtolaryngol Head Neck Surg
October 2024
Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
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