Failures and Complications of Supraglottoplasty in Children

Denoyelle, Françoise; Mondain, M.; Gresillon, N; Roger, Gilles; Chaudré, Franck; Garabédian, E. N.

doi:10.1001/archotol.129.10.1077

Cited by 129 publications

(161 citation statements)

References 14 publications

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“…This is similar to the 50% 6 and 57% 7 success rates reported in other studies of patients with syndromes and congenital anomalies and is significantly lower than the rates in the population without comorbidities. Micrognathia in Pierre Robin sequence was associated with a poor prognosis.…”

Section: Syndromic Comorbiditiessupporting

confidence: 89%

Supraglottoplasty Outcomes in Neurologically Affected and Syndromic Children

Durvasula

Lawson

Bower

et al. 2014

JAMA Otolaryngol Head Neck Surg

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Section: Syndromic Comorbiditiessupporting

confidence: 89%

Supraglottoplasty Outcomes in Neurologically Affected and Syndromic Children

Durvasula

Lawson

Bower

et al. 2014

JAMA Otolaryngol Head Neck Surg

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“…Our overall success rate was 87%, the results in children without associated neurologic anomalies being better, with resolution in 96%. Nevertheless, children with comorbidities, particularly those with neurologic anomalies, seem to be at higher risk for treatment failure [17][18][19][20][21]. The literature regarding those patients is scarce, rendering their analysis difficult.…”

Section: Discussionmentioning

confidence: 99%

Management of laryngomalacia in children with congenital syndrome: The role of supraglottoplasty

Escher

Probst

Gysin

2015

Journal of Pediatric Surgery

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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 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 3.5 months. 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.

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“…Although its pathogenesis is not fully understood, in this condition there is collapse of supraglottic tissues during inspiration [4,5] , generating a highfrequency inspiratory stridor that is exacerbated in the supine position during feeding, agitation and crying [6][7][8] . This stridor usually appears in the first two weeks of life, with an incidence peak at around 6 months and spontaneous resolution in 90 percent of the cases by the second year of life [9,10] .…”

Section: Introductionmentioning

confidence: 99%

Atypical Presentation of Severe Laryngomalacia Managed with Aryepiglottoplasty and A Novel Suture Technique

Mathur¹

2017

jmscr

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A 12 year old boy intubated for severe respiratory distress failed six extubation trials and was found to have laryngomalacia on fiberoptic laryngoscopic examination. He underwent aryepiglottoplasty and suture of epiglottis to the base of the tongue with a lumber puncture needle and the technique previously described for the lateralization of vocal cord leading to successful extubation on fourth post-operative day. The patient was observed as in patient for one week after surgery and was followed up for six months as outpatient with complete recovery.

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Failures and Complications of Supraglottoplasty in Children

Abstract: Failure of supraglottoplasty was only observed in cases of laryngomalacia with ACAs. The complication rate was similar whether or not ACAs were present.

Cited by 129 publications

References 14 publications

Supraglottoplasty Outcomes in Neurologically Affected and Syndromic Children

Supraglottoplasty Outcomes in Neurologically Affected and Syndromic Children

Management of laryngomalacia in children with congenital syndrome: The role of supraglottoplasty

Atypical Presentation of Severe Laryngomalacia Managed with Aryepiglottoplasty and A Novel Suture Technique

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