Synchronous airway lesions in children with severe, progressive and atypical laryngomalacia – Experience of a UK tertiary referral centre

Glibbery, Natalia; Bance, Rujuta Roplekar; Jonas, Nico; Bewick, Jessica

doi:10.1016/j.ijporl.2021.110984

Cited by 6 publications

(6 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our cohort of patients, 30.2% of the children were surgically treated, which is probably a consequence of the highly selected patients in a tertiary referral center. Similar data were published by Glibbery et al as they operated on 35.4% of their children [24]. On the contrary, only 6.4% of children required surgical intervention in the study of Kusak et al [25] and 4.2% in the group presented by Wright et al [20].…”

Section: Discussionsupporting

confidence: 80%

“…In a group of exclusively surgically treated patients, Toynon et al [16] and Schroeder et al [15] revealed SAL in 47% and 58%, respectively. These values remain very high when compared to the studies of Glibbery et al (13%) and our results (12.5%) among patients who underwent supraglottoplasty [24].…”

Section: Discussionsupporting

confidence: 50%

“…Glibbery et al identified SALs in 28.2% of their participants, but a limitation of their study was that only 60% of the patients underwent MLB [24]. Rifai et al reported a SAL incidence of 7.7% but excluded patients with prematurity, cardiac comorbidities and neurological lesions [14].…”

Section: Discussionmentioning

confidence: 96%

“…Our study protocol included the full endoscopic assessment of the airways in each patient to identify all potential cases of SAL. Glibbery et al regard microlaryngobronchoscopy as the gold standard for full airway evaluation [24]. Some studies propagated a routine of MLB for all pediatric patients with stridor to reveal the presence of SAL [28][29][30].…”

Section: Discussionmentioning

confidence: 99%

“…Glibbery et al state that the risk of overlooking SAL in patients with severe, progressive or atypical disease outweighs the potential anesthetic and surgical risks associated with MLB [24]. Nevertheless, there is a scarcity of studies in the literature concerning the evaluation of a selective approach to MLB and the significance of SALs in patients with severe LM [24].…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Characteristics of Patients with Laryngomalacia: A Tertiary Referral Center Experience of 106 Cases

Bredun,

Kotowski,

Mezydlo

et al. 2023

Diagnostics

View full text Add to dashboard Cite

Laryngomalacia (LM) is the most common airway congenital anomaly and the main cause of stridor in infants. Some patients with severe airway symptoms or with feeding difficulties require surgical intervention. Synchronous airway lesions (SALs) may influence the severity and course of the disease. This study aimed to determine the prevalence of various types of LM and SALs and their influence on surgical intervention decisions and feeding difficulties. Moreover, the study focused on the interrelations between SALs and the type of LM or the presence of feeding difficulties. A retrospective analysis of 106 pediatric patients revealed a significant relationship between type 2 LM and the necessity of surgical treatment. We also found a significant effect of LM type 2 on feeding difficulty. Type 1 LM is significantly more characteristic in premature children. Among different comorbidities, SALs are suspected of modification of the course and severity of LM. This study did not find a significant effect of SALs on the incidence of supraglottoplasty or feeding difficulty.

show abstract

Section: Discussionsupporting

confidence: 80%