Role of transoral CO2 laser surgery for severe pediatriclaryngomalacia
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Sachin Gandhi Vasant Oswal Pallavi Thekedar Prasun Mishra
- چاپ و سال / کشور: 2011
Description
Controversy exists as to the preferred treatment modality for managing refractory pediatric laryngomalacia (LM). Simultaneous bilateral procedures have been associated with supraglottic stenosis. Unilateral operations have a higher rate of secondary intervention. This prospective study was conceptualized to ascertain a preferred approach. A secondary goal was to correlate the surgical outcome with presenting symptoms and signs. Twenty-two children with severe LM met the criteria for enrollment. Bilateral CO2 laser-assisted supraglottic laryngoplasties were performed in all cases. The procedure mainly consisted of division of the aryepiglottic fold. Nineteen (86%) patients met our defined success criteria. There were no surgical complications. Bilateral supraglottic laryngoplasty has a role in the management of severe refractory LM
Eur Arch Otorhinolaryngol, Received: 3 July 2010 / Accepted: 9 May 2011 Springer-Verlag 2011
