Flexible nasolaryngoscopy accuracy in laryngomalacia diagnosis

Lima, Tânia Mara Assis; Gonçalves, Denise Utsch; Gonçalves, Lucas V.; Reis, Paulo Augusto C.; Lana, Angela Beatriz S.; Guimarães, Fernando Fernandes

doi:10.1016/s1808-8694(15)30747-3

Cited by 17 publications

(12 citation statements)

References 7 publications

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“…A definitive diagnosis of laryngomalacia can be made accurately by flexible fiberoptic laryngoscopy alone in the vast majority of cases (88%), regardless of the experience level of the examiner [9]. The procedure can generally be performed on awake children in the arms of their caregiver without the need for sedation.…”

Section: History and Examinationmentioning

confidence: 99%

Laryngomalacia: Review and Summary of Current Clinical Practice in 2015

Thorne

Garetz

2016

Paediatric Respiratory Reviews

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Section: History and Examinationmentioning

confidence: 99%

Laryngomalacia: Review and Summary of Current Clinical Practice in 2015

Thorne

Garetz

2016

Paediatric Respiratory Reviews

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“…The diagnosis is suspected by clinical history and most accurately diagnosed by awake dynamic flexible fiberoptic laryngoscopy (FFL) [3 ] with up to 88% reliability regardless of examining physician experience [4]. Typical features include supra-arytenoid tissue prolapse during inhalation, omega-shaped epiglottis, retroflexed epiglottis, short aryepiglottic folds, poor visualization of the vocal folds, and edema of the posterior glottis.…”

Section: Introductionmentioning

confidence: 99%

“…Regardless of experience of the examining physician, the most commonly agreed finding is short aryepiglottic folds. More experienced physicians are better able to identify posterior glottic edema and poor visualization of the vocal folds as pathologic [4]. FFL under spontaneously breathing anesthesia may be required to diagnose cases in infants who have stridor and airway obstruction but typical findings are not apparent during awake examination [5].…”

Section: Introductionmentioning

confidence: 99%

Laryngomalacia: factors that influence disease severity and outcomes of management

Thompson

2010

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

125

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Most with laryngomalacia will have mild to moderate symptoms and not require surgical intervention. Those with GERD/LPR have symptoms improvement from acid suppression therapy. Those with severe enough disease to require supraglottoplasty will have minimal complications and good outcomes if multiple medical co-morbidities are not present. Those with multiple medical co-morbidities could be offered supraglottoplasty as the first intervention but counseled that tracheostomy may be required.

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“…Consequently, associated risks and morbidities may develop. Whereas the FE examination is performed under sedation, which allows better evaluation of infant's airway dynamics than the RE, and has already been recognized as the gold standard for diagnosis of LM [22][23][24]. However, many pediatric pulmonologists who are capable of diagnosing LM with FE lack RE training and experience.…”

Section: Discussionmentioning

confidence: 99%