Optimal laser usage improves surgical efficiency in pediatric supraglottoplasty

Kothari, Dhruv S.; Kanotra, Sohit Paul

doi:10.1016/j.ijporl.2022.111412

Cited by 3 publications

(1 citation statement)

References 29 publications

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“…Therefore, performing SGP first may prevent additional surgical procedures in patients whose airways are already widened or whose dysphagia is the result of LM. SGP was performed with a laser used in ultra-pulse mode, which has been shown to decrease surgical suspension time [17]. In this subset of cases, we performed LCR at a later date if the postoperative swallow study continued to show persistent aspiration after SGP.…”

Section: Discussionmentioning

confidence: 99%

Airway and Swallowing Outcomes in Children With Combined Laryngomalacia and Laryngeal Cleft

Escudero,

Tanenbaum,

Riad

et al. 2024

Cureus

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Laryngomalacia (LM) and laryngeal cleft (LC) can independently cause dysphagia but rarely can occur concomitantly. We discuss the presentation, decision-making, and swallow outcomes following surgical correction of combined LM and LC. We present four patients with combined LM and an LC who underwent both primary supraglottoplasty (SGP) and laryngeal cleft repair (LCR). Each patient presented with recurrent choking or coughing with feeds. Stridor was only present in two patients. Patients with SGP saw the resolution of stridor when present, but dysphagia persisted in all four cases. LCR clinically and objectively resolved all symptoms of dysphagia. We found that flexible fiberoptic laryngoscopy is not always reliable at detecting combined pathology. Patients presenting with persistent dysphagia following SGP should be suspected of having interarytenoid pathology. We recommend a staged surgical approach with SGP before LCR.

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Section: Discussionmentioning

confidence: 99%