Laser supraglottoplasty for laryngomalacia; a 14 year experience of a tertiary referral center.

Details

Serval ID
serval:BIB_83C9142BA6F6
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Laser supraglottoplasty for laryngomalacia; a 14 year experience of a tertiary referral center.
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)
Reinhard A., Gorostidi F., Leishman C., Monnier P., Sandu K.
ISSN
1434-4726 (Electronic)
ISSN-L
0937-4477
Publication state
Published
Issued date
04/2017
Peer-reviewed
Oui
Volume
274
Number
1
Pages
367-374
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To review the outcomes of laser supraglottoplasty performed in children with symptomatic laryngomalacia and determine the factors influencing them. We retrospectively reviewed the medical records of patients who underwent laser supraglottoplasty for symptomatic laryngomalacia at the Lausanne University Hospital from November 2001 to November 2014. We examined the patient's demography, symptoms, comorbidities, type of laryngomalacia, synchronous airway lesions, and final outcomes. Seventy-nine patients were included in this study; median age at the time of surgery was 12.7 months. 55.7 % of the cases had comorbidities, 22.8 % of the patients were premature and synchronous airway lesions were present in 32.9 % of the cases. The different morphological types of laryngomalacia (I-III) were seen in 26.6, 62 and 11.4 % of the patients, respectively. Overall, operation specific success rate of laser supraglottoplasty was 86.1 %. Failures in 11 (13.9 %) of the 79 cases required 15 revision procedures. Success rates for patients with associated comorbidities, synchronous airway lesions, neurological disorders and prematurity were 81.8, 76.9, 69.2 and 66.7 %, respectively. Patients with type III laryngomalacia had a limited success rate (66.7 %) as compared to patients with morphological types I and II (90.5 and 87.8 %, respectively). Laser supraglottoplasty is an effective and safe treatment for symptomatic laryngomalacia. Patients with prematurity, type III LM, synchronous airway lesions and associated comorbidities are predisposed to surgical failure.

Keywords
Child, Child, Preschool, Comorbidity, Female, Humans, Infant, Infant, Newborn, Infant, Premature, Laryngomalacia/complications, Laryngomalacia/pathology, Laryngomalacia/surgery, Laser Therapy, Male, Retrospective Studies, Tertiary Care Centers, Treatment Outcome
Pubmed
Open Access
Yes
Create date
15/09/2016 21:09
Last modification date
20/08/2019 15:43
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