Surgical treatment of laryngomalacia

Strategies for CO2 Laser Use in Laryngeal Microsurgery: A Systematic Review

“…Sixteen studies outlined safety measures and perioperative strategies for the use of the CO 2 laser in pediatric or congenital conditions (Supplemental Table S5, available online). [54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] These studies were conducted in 8 different countries, including the United States (n = 7) and Saudi Arabia (n = 2). These studies included children aged from 3 days old to 18 years old.…”

“…Included studies addressed the repair of laryngeal or laryngotracheal clefts (n = 4), the surgical management of laryngomalacia (n = 5), the treatment of congenital or postintubation laryngeal stenosis (n = 2), and other TOLMS indications in children (n = 5). [54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] Included studies described various ventilation methods, with the use of SR (n = 9), JV (n = 4), apnea (n = 3), and 1 study reported the use of all four ventilation methods (ETI, JV, SR, or apnea). [54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] Few studies reported the use of ETI (n = 2).…”

“…[54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] Included studies described various ventilation methods, with the use of SR (n = 9), JV (n = 4), apnea (n = 3), and 1 study reported the use of all four ventilation methods (ETI, JV, SR, or apnea). [54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] Few studies reported the use of ETI (n = 2). 62,69 Various preoperative safety precautions were described across included studies, including the use of moistened drapes and eye pads to protect patients' exposed skin (n = 4), as well as the use of eye protection for all operating room staff (n = 3).…”

“…[54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] Few studies reported the use of ETI (n = 2). 62,69 Various preoperative safety precautions were described across included studies, including the use of moistened drapes and eye pads to protect patients' exposed skin (n = 4), as well as the use of eye protection for all operating room staff (n = 3). 62,65,66,69 Intraoperatively, authors outlined the use of topical lidocaine (n = 5) and topical corticosteroids (n = 3).…”

“…62,69 Various preoperative safety precautions were described across included studies, including the use of moistened drapes and eye pads to protect patients' exposed skin (n = 4), as well as the use of eye protection for all operating room staff (n = 3). 62,65,66,69 Intraoperatively, authors outlined the use of topical lidocaine (n = 5) and topical corticosteroids (n = 3). Systemic corticosteroids (n = 3) were used to reduce the risk of postoperative laryngospasm and edema.…”