Abstract
Tracheostomy for management of severe laryngomalacia is associated with significant morbidity and mortality. Two cases are reported wherein the laryngeal abnormality was corrected by ary-epiglottic fold incision and CO2 laser supraglottoplasty. Stridor and respiratory obstruction were relieved and a long term tracheostomy avoided. Endoscopic correction of laryngomalacia offers significant benefits over conventional treatment with tracheostomy in terms of decreased morbidity and improved quality of life.
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References
Holinger LD, Etiology of stridor in the neonate, infant, and the child.Ann Otol Rhinol Laryngol 1980; 89: 397–400.
Lane RW, Weider DJ, Steinam C, Marin-Padilla, Laryngomalacia: A review and case report of surgical treatment with resolution of pectus excavatum.Arch otolaryngol 1984; 110: 546–551.
Zalzal GH, Anon JB, Cotton RT. Epiglottoplasty for the treatment of laryngomalacia.Ann Otol Rhinol Laryngol 1987; 96: 72–76.
Sichel J, Dangoor E, Eliashar R, Halperin D. Management of congenital laryngeal malformations.Am J Otolaryngol 2000; 21: 22–30.
Rogers JH. Tracheostomy and decannulation. In David A Adams and Michael J Cinnamond ed, Scott-Brown; 6th edn. Vol 6 page 15.
Gonzales C, Reilly JS, Bluestone CD. Synchronus airway lesions in infancy.Ann Otol Rhinol Laryngol 1987; 96: 77–80.
Fearon B, Ellis D. The management of long term airway problems in infants and children.Ann Otol Rhinol Laryngol 1971; 80: 669–71.
Friedman EM, Vastola P, McGill TJIet al. Chronic paediatric stridor: Etiology and Outcome.Laryngoscope 1990; 100: 277–280.
Seid AB, Park SM, Kearns MJ, Guhenheim S. Laser division of Aryepiglottic folds for severe laryngomalacia.Int J Pediatr Otorhinolaryngol 1985; 10: 153–158.
Polonovsky JM, Contencin P, Francois M, Viala P, Narcy P. Aryepiglottic fold excision for the treatment of severe laryngomalacia.Ann Otol Rhinol Laryngol 1990; 99: 625–627.
Templer J, Hast M, Thomas JR, Davis WE. Congenital laryngeal stridor secondary to flaccid epiglottis, anomalous accessory cartilages and redundant aryepiglottic fold.Laryngoscope 1981; 91: 394–397.
Loke D, Ghosh S, Panarese A, Bull PD. Endoscopic division of aryepiglottic folds in severe laryngomalacia.Int J Pediatr Otorhinolaryngol 2001; 60: 59–63.
McClurg EL, Evans DA. Laser laryngoplasty for laryngomalacia.Laryngoscope 1994; 104: 247–252.
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Venkatakarthikeyan, C., Thakar, A. & Lodha, R. Endoscopic correction of severe laryngomalacia. Indian J Pediatr 72, 165–168 (2005). https://doi.org/10.1007/BF02760703
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DOI: https://doi.org/10.1007/BF02760703