Comparison between rigid and flexible laser supraglottoplasty in the treatment of severe laryngomalacia in infants

Soong, Wen‐Jue; Shiao, An Suey; Jeng, Mei Jy; Lee, Yu Sheng; Tsao, Pei Chen; Yang, Chia Feng; Soong, Yen Hui

doi:10.1016/j.ijporl.2011.03.016

Cited by 22 publications

(37 citation statements)

References 29 publications

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“…). In laser therapy, the laser fiber was introduced via the working channel of the scope and the PhO 2 oxygen concentration was limited to 40%. Esophageal endoscopy was routinely executed after tracheobronchial examination.…”

Section: Methodsmentioning

confidence: 99%

A novel technique of non‐invasive ventilation: Pharyngeal oxygen with nose‐closure and abdominal‐compression—Aid for pediatric flexible bronchoscopy

Soong

Jeng

Lee

et al. 2014

Pediatric Pulmonology

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Section: Methodsmentioning

confidence: 99%

A novel technique of non‐invasive ventilation: Pharyngeal oxygen with nose‐closure and abdominal‐compression—Aid for pediatric flexible bronchoscopy

Soong

Jeng

Lee

et al. 2014

Pediatric Pulmonology

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“…If the aryepiglottic folds are foreshortened, causing the epiglottis to prolapse, they may be divided with cold steel or CO 2 laser; redundant arytenoid mucosa may be sharply excised or removed with a microdebrider. [56][57][58] Epiglottopexy may also be performed with CO 2 laser: after direct laryngoscopy and suspension, laser is applied to the lingual surface of the epiglottis in a linear fashion, with or without laser ablation of the tongue base mucosa and suturing to promote adherence between the epiglottis and tongue base. 59,60 Special considerations Children with syndromes have a high rate of obstructive sleep apnea, related to craniofacial abnormalities, macroglossia, and hypotonia, and often require multiple or more complex procedures.…”

Section: Surgery For Laryngomalaciamentioning

confidence: 99%

Surgical management of sleep-disordered breathing in children

Qualls

Rimell

2015

Operative Techniques in Otolaryngology-Head and Neck Surgery

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“…Forty‐four studies were excluded for the following reasons: the number of patients undergoing polysomnography pre‐ and postsupraglottoplasty was not provided; no quantitative data for polysomnograms was provided; only adults were included; procedure(s) were performed in addition to the supraglottoplasty with no stratification of data for those who underwent isolated supraglottplasty; only preoperative data was available; some children were sedated with choral hydrate; the postoperative data was only available for a fraction of patients; portable pulse‐oximetry was used instead of formal polysomnography; or they were review articles …”

Section: Resultsmentioning

confidence: 99%

Supraglottoplasty for laryngomalacia with obstructive sleep apnea: A systematic review and meta‐analysis

et al. 2015

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Objectives/Hypothesis: To determine if apnea-hypopnea index (AHI) and lowest oxygen saturation (LSAT) improve following isolated supraglottoplasty for laryngomalacia with obstructive sleep apnea (OSA) in children.Study Design: Systematic review and meta-analysis. Methods: Nine databases, including PubMed/MEDLINE, were searched through September 30, 2015.Results: A total of 517 studies were screened; 57 were reviewed; and 13 met criteria. One hundred thirty-eight patients were included (age range: 1 month-12.6 years). Sixty-four patients had sleep exclusive laryngomalacia, and in these patients: 1) AHI decreased from a mean (M) 6 standard deviation (SD) of 14.0 6 16.5 (95% confidence interval [CI] 10.0, 18.0) to 3.3 6 4.0 (95% CI 2.4, 4.4) events/hour (relative reduction: 76.4% [95% CI 53.6, 106.4]); 2) LSAT improved from a M 6 SD of 84.8 6 8.4% (95% CI 82.8, 86.8) to 87.6 6 4.4% (95% CI 86.6, 88.8); 3) standardized mean differences (SMD) demonstrated a small effect for LSAT and a large effect for AHI; and 4) cure (AHI < 1 event/hour) was 10.5% (19 patients with individual data). Seventy-four patients had congenital laryngomalacia, and in these patients: 1) AHI decreased from a M 6 SD of 20.4 6 23.9 (95% CI 12.8, 28.0) to 4.0 6 4.5 (95% CI 2.6, 5.4) events/hour (relative reduction: 80.4% [95% CI 46.6, 107.4]); 2) LSAT improved from a M 6 SD of 74.5 6 11.9% (95% CI 70.9, 78.1) to 88.4 6 6.6% (95% CI 86.4, 90.4); 3) SMD demonstrated a large effect for both AHI and LSAT; and 4) cure was 26.5% (38 patients with individual data).Conclusion: Supraglottoplasty has improved AHI and LSAT in children with OSA and either sleep exclusive laryngomalacia or congenital laryngomalacia; however, the majority of them are not cured.

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Comparison between rigid and flexible laser supraglottoplasty in the treatment of severe laryngomalacia in infants

Cited by 22 publications

References 29 publications

A novel technique of non‐invasive ventilation: Pharyngeal oxygen with nose‐closure and abdominal‐compression—Aid for pediatric flexible bronchoscopy

A novel technique of non‐invasive ventilation: Pharyngeal oxygen with nose‐closure and abdominal‐compression—Aid for pediatric flexible bronchoscopy

Surgical management of sleep-disordered breathing in children

Supraglottoplasty for laryngomalacia with obstructive sleep apnea: A systematic review and meta‐analysis

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