Laser division of the aryepiglottic folds for severe laryngomalacia

Seid, Allan B.; Park, Sung Min; Kearns, Michael; Gugenheim, Stephen

doi:10.1016/s0165-5876(85)80027-6

Cited by 98 publications

(53 citation statements)

References 7 publications

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“…At present, we recommend that instead of a resection, a portion of the aryepiglottic fold be vaporized, according to the technique described by Seid et al [14]. Indeed, the laser beam will not only cut the fold but also vaporize surrounding tissues, thus avoiding the failures when resection with microscissors is undertaken.…”

Section: Discussionmentioning

confidence: 99%

“…In 1928, Hasslinger [3] reported two cases successfully treated in this way. Endoscopic resection of the folds has been modified during the past 10 years by various authors [7,14,18]. Polonovski et al [13] reported a series of 39 cases, with good postoperative results in 37 patients.…”

Section: Introductionmentioning

confidence: 99%

“…Polonovski et al [13] reported a series of 39 cases, with good postoperative results in 37 patients. However, authors remain divided between those advocating microsurgery with cold instruments [7,13,18] and those promoting use of the laser [2,5,14]. In the present study we carried out 12 resections using the CO2-1aser micropoint micromanipulator, using high-frequency jet ventilation (HFJV).…”

Section: Introductionmentioning

confidence: 99%

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Use of the CO2-laser micropoint micromanipulator for the treatment of laryngomalacia

Remacle¹,

Bodart²,

Lawson³

et al. 1996

Eur Arch Otorhinolaryngol

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Between September 1989 and June 1994, 21 children (17 boys, 4 girls) with moderate to severe symptoms due to laryngomalacia underwent endoscopic surgery using the CO2-laser micropoint manipulator (shot-by-shot, 0.1 s, super-pulse, 2-3 W power; 280 microns beam; 400 mm working distance). Mean age of the children was 5 months (range, 1-11 months). The procedure was performed under high-frequency jet ventilation and consisted in the resection and/or vaporization of the aryepiglottic folds. This tissue removal could be extended to the laryngeal mucosa of the arytenoids and the lateral edge of the epiglottis. Results of surgery were excellent with normalization (8 patients) or, at worst, a very definite improvement of symptoms (4 patients). Furthermore, no complications occurred due to the technique used. These results have convinced us that the CO2-laser micropoint manipulator technique, with the "super-pulse" shooting mode and high-frequency jet ventilation, is by far superior to microsurgery with cold instruments when endoscopic treatment of laryngomalacia is indicated.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Use of the CO2-laser micropoint micromanipulator for the treatment of laryngomalacia

Remacle¹,

Bodart²,

Lawson³

et al. 1996

Eur Arch Otorhinolaryngol

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“…Der Laser hat sich nach den ersten positiven Berichten [19,41] aufgrund seiner hämostatischen Qualität und seiner Prä-zision in den vergangenen Jahren durchgesezt und kann heute als die Methode der Wahl für die Therapie der schweren Verlaufsform der Laryngomalazie angesehen werden [31,38,39].…”

Section: Mikrochirurgisches Vorgehen Mit Der Vonunclassified

“…Die Therapie der Laryngomalazie ist aufgrund der guten Prognose zunächst abwartend und beobachtend ("wait and see"),da sich die Symptome in der Mehrzahl der Fälle ohne aktive Maßnahmen von selbst legen.Zwischen 7 und 22% der betroffenen Kinder entwickeln jedoch derartig schwere,teilweise lebensbedrohliche Symptome, dass eine chirurgische Intervention unvermeidlich wird [13,19,24,39,41,48].…”

Section: Therapeutisches Vorgehenunclassified

Laryngomalazie

Vollrath

2004

HNO

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Laryngomalacia, a rarely mentioned clinical entity in the German literature, is reviewed in this article. The clinical picture, diagnostics and pathogenesis are presented. The prognosis is favorable. Usually the inspiratory stridor disappears after the second year of life in most of the children. However, 7-22% of those involved develop life threatening symptoms which require surgical intervention. We performed laser supraglottoplasty, the method of choice, on five children with severe laryngomalacia. Intraoperative pre and post surgical findings and the surgical procedure are documented. The abnormally enlarged cuneiform cartilages within the aryepiglottic folds were the striking morphological feature in all of our cases. Inspiratory collapse affected only these structures. After laser supraglottoplasty, all of our children were immediately free of symptoms. Because of this high success rate, which is also reflected in literature, we recommend children with severe symptoms to have early surgery, thus preventing troublesome months in expectation of a spontaneous recovery.

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Unilateral vs Bilateral Supraglottoplasty for Severe Laryngomalacia in Children

Reddy¹,

Matt²

2001

Arch Otolaryngol Head Neck Surg

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Unilateral supraglottoplasty was associated with a high success rate, low complication rate, and the avoidance of supraglottic stenosis in our study population. The percentage of patients requiring a subsequent contralateral procedure was comparable to that reported in the literature, and no major complications were associated with the second operation in these patients. Therefore, unilateral supraglottoplasty seems to be a reasonable option for initial surgical management of pediatric patients with severe laryngomalacia.

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Laser division of the aryepiglottic folds for severe laryngomalacia

Cited by 98 publications

References 7 publications

Use of the CO2-laser micropoint micromanipulator for the treatment of laryngomalacia

Use of the CO2-laser micropoint micromanipulator for the treatment of laryngomalacia

Laryngomalazie

Unilateral vs Bilateral Supraglottoplasty for Severe Laryngomalacia in Children

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