To evaluate the effectiveness of unilateral supraglottoplasty in the treatment of children with severe laryngomalacia.
Pediatric tertiary referral center.
Eighteen children with severe laryngomalacia. Indications for surgical intervention were obstructive apnea, failure to thrive, cyanosis, and/or cor pulmonale.
Unilateral carbon dioxide laser removal of redundant supraglottic tissue (supraglottoplasty).
Evaluation of relief of symptoms, need for subsequent contralateral procedure, and incidence of complications.
Three patients required treatment of the opposite side at a later date. There were no complications. Obstructive apnea and weight gain improved in all.
Unilateral supraglottoplasty can be used to treat severe laryngomalacia in most patients. A small percentage of patients will subsequently require a contralateral procedure. Unilateral supraglottoplasty may have less risk of complications than bilateral supraglottoplasty.(Arch Otolaryngol Head Neck Surg. 1995;121:1351-1354)
Kelly SM, Gray SD. Unilateral Endoscopic Supraglottoplasty for Severe Laryngomalacia. Arch Otolaryngol Head Neck Surg. 1995;121(12):1351–1354. doi:10.1001/archotol.1995.01890120011002
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