title: Surgical treatment of severe laryngomalacia: a retrospective study of 11 case.
abstract: Laryngomalacia is the most frequent congenital abnormality of the larynx, accounting for approximately 60-75% of congenital stridor cases. Despite its benign and self-limited aspects, 10% of cases require intervention. Currently, supraglottoplasty is considered the standard treatment of severe laryngomalacia.
  
  
  OBJECTIVE
  To describe the experience of the authors in the surgical treatment of patients with severe laryngomalacia.
  
  
  METHODS
  A retrospective study.
  
  
  METHODS
  The medical records of 11 consecutive cases of severe laryngomalacia who underwent surgical treatment between 2003 and 2012 were analyzed for age, gender, symptoms, associated diseases, surgical technique employed, extubation time, surgical complications, length of hospital stay and clinical outcome.
  
  
  RESULTS
  Of the 11 cases of severe laryngomalacia, six patients (54.5%) were operated with the use of CO2 laser and five patients (45.5%) were submitted to the cold technique. Only 1 patient (9.1%) required surgical reintervention. There were no cases of surgical complications. All patients had clinical improvement.
  
  
  CONCLUSIONS
  Supraglottoplasty proved to be effective and safe in the treatment of severe laryngomalacia.
authors.affiliation: Núcleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Pinto
authors.forename: Henrique
authors.initials: H
authors.lastname: Wambier
authors.forename: Elcio Izumi
authors.initials: EI
authors.lastname: Mizoguchi
authors.forename: Leonardo Marques
authors.initials: LM
authors.lastname: Gomes
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Kohler
authors.forename: Renata Coutinho
authors.initials: RC
authors.lastname: Ribeiro
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D055092:Laryngomalacia / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome