کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4107062 1605383 2012 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Laryngomalacia surgery: a series from a tertiary pediatric hospital
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Laryngomalacia surgery: a series from a tertiary pediatric hospital
چکیده انگلیسی

Laryngomalacia is the condition responsible for 75% of the cases of stridor in children aged up to 30 months, in which there is supraglottic collapse during inhalation. Inspiratory stridor is a characteristic telltale. As many as 20% of the patients are severely affected and require surgery. Supraglottoplasty is the procedure of choice and the presence of comorbidities is the most relevant prognostic factor for surgery success.ObjectiveTo describe a series in a tertiary pediatric hospital, its success rates, and surgery prognostic factors.MethodThis retrospective cohort study enrolled 20 patients submitted to supraglottoplasty between July 2007 and May 2011.ResultsThirteen (65%) patients were males; mean age at the time of the procedure was 6.32 months. Endoscopic examination showed that 12 subjects had combined forms of laryngomalacia, 40% had associated pharyngomalacia, and three also had tracheomalacia. Thirteen subjects had isolated laryngomalacia and seven had gastroesophageal reflux disease. Fifteen (75%) patients underwent aryepiglottic fold resection. After the procedure, eleven patients were asymptomatic and two required tracheostomy. Presence of comorbidities was the strongest predictor of unfavorable postoperative outcome (p = 0.034).ConclusionSupraglottoplasty is a safe therapeutical procedure for select patients with laryngomalacia.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Brazilian Journal of Otorhinolaryngology - Volume 78, Issue 6, November–December 2012, Pages 99–106
نویسندگان
, , , , ,