Endoscopic epiglottopexy using Lichtenberger's needle carrier to avoid breakdown of repair.

Details

Serval ID
serval:BIB_38EC1CFB0F46
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Endoscopic epiglottopexy using Lichtenberger's needle carrier to avoid breakdown of repair.
Journal
European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-rhino-laryngological Societies (eufos) : Affiliated With the German Society For Oto-rhino-laryngology - Head and Neck Surgery
Author(s)
Sandu K., Monnier P., Reinhard A., Gorostidi F.
ISSN
1434-4726 (Electronic)
ISSN-L
0937-4477
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
272
Number
11
Pages
3385-3390
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Severe type III laryngomalacia LM is represented by a retroflexed epiglottis that touches the posterior pharyngeal wall and obstructs the laryngeal inlet. Endoscopic epiglottopexy is advised in such cases wherein pexy sutures are passed between the epiglottis and base of tongue. Using conventional needle carriers, it is difficult to pass such sutures that go deep enough into the tongue base. Such a pexy is prone to a break down. We describe a novel technique of placing these glossoepiglottic sutures using the Lichtenberger's needle carrier. We used this technique in three patients with excellent results and report no complications. We propose to use this technique in cases of epiglottic prolapse seen in severe LM and certain hypotonic conditions.
Keywords
Child, Child, Preschool, Epiglottis/surgery, Female, Humans, Infant, Laryngomalacia/surgery, Laryngoscopy, Male, Suture Techniques/instrumentation, Sutures
Pubmed
Web of science
Create date
19/10/2015 12:28
Last modification date
20/08/2019 13:28
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