title: Role of transoral CO(2) laser surgery for severe pediatric laryngomalacia.
abstract: 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 CO(2) 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.
authors: Department of Laryngology, Deenanath Mangeshkar Hospital and Research Centre, Pune, India. drsachingandhi@yahoo.com
authors: Sachin
authors: S
authors: Gandhi
authors: Vasant
authors: V
authors: Oswal
authors: Pallavi
authors: P
authors: Thekedar
authors: Prasun
authors: P
authors: Mishra
references: Ann Otol Rhinol Laryngol. 1987 Jan-Feb;96(1 Pt 1):72-6
references: 3813390
references: J Laryngol Otol. 1991 Dec;105(12):1040-5
references: 1787357
references: Ann Otolaryngol Chir Cervicofac. 1984;101(5):363-73
references: 6476714
references: Int J Pediatr Otorhinolaryngol. 2005 Mar;69(3):305-9
references: 15733588
references: Arch Otolaryngol Head Neck Surg. 2006 Sep;132(9):978-82
references: 16982974
references: Arch Otolaryngol Head Neck Surg. 1996 Dec;122(12):1417-8
references: 8956765
references: Arch Otolaryngol. 1984 Aug;110(8):546-51
references: 6743107
references: Otolaryngol Pol. 2006;60(3):349-54
references: 16989447
references: J Laryngol Otol. 2001 Jan;115(1):35-8
references: 11233619
references: Arch Otolaryngol Head Neck Surg. 2001 Jun;127(6):694-9
references: 11405871
references: J Fr Otorhinolaryngol Audiophonol Chir Maxillofac. 1971 Apr;20(4):625-6
references: 4253410
references: Int J Pediatr Otorhinolaryngol. 1985 Nov;10(2):153-8
references: 4093254
references: Arch Otolaryngol Head Neck Surg. 1995 Dec;121(12):1351-4
references: 7488362
references: Arch Otolaryngol Head Neck Surg. 2003 Oct;129(10):1077-80; discussion 1080
references: 14568790
references: Ann Otol Rhinol Laryngol. 1987 Jan-Feb;96(1 Pt 1):81-5
references: 3813392
references: Arch Otolaryngol Head Neck Surg. 1996 Mar;122(3):302-6
references: 8607959
references: Laryngoscope. 1999 Nov;109(11):1770-5
references: 10569405
references: Int J Pediatr Otorhinolaryngol. 2001 Jul 30;60(1):59-63
references: 11434955
references: Braz J Otorhinolaryngol. 2005 May-Jun;71(3):330-4
references: 16446937
references: J Laryngol Otol. 2005 Dec;119(12):958-60
references: 16354358
references: Ann Otol Rhinol Laryngol. 1990 Aug;99(8):625-7
references: 2382935
references: Eur Arch Otorhinolaryngol. 1996;253(7):401-4
references: 8891483