Historically, the supraglottoplasty has been used primarily for the treatment of laryngomalacia in the pediatric population and has been indicated less often in the adult population.
In the literature, the utilization of supraglottoplasty in adults is nearly nonexistent, with one case report profiling the use of supraglottoplasty to treat laryngomalacia in adulthood.
Supraglottoplasty was performed with a CO, laser to excise the excess mucosa.
We conducted a retrospective study to determine the incidence of aspiration after supraglottoplasty at Riley Hospital for Children in Indianapolis.
In severe cases of laryngomalacia, however, surgical treatment with supraglottoplasty is recommended.
Supraglottoplasty and laryngoplasty were performed with a C[O.
Seven months later, supraglottoplasty was performed on the contralateral side, and the obstruction at the laryngeal level resolved (figure 2).
However, when she continued to experience hypoxemic episodes, she was scheduled for an endoscopic evaluation of the airway and supraglottoplasty
In our experience, patients with neurodevelopmental disorders generally have a posterior prolapsed epiglottis; when surgical intervention is required in such cases, tracheostomy rather than supraglottoplasty is the procedure of choice.
Just as we did, Olney et al used their classification system to direct the type of supraglottoplasty they performed.
Kelly and Gray (39) and Reddy and Matt (40) reviewed the complications of surgical procedures for laryngomalacia and compared the outcomes of patients who underwent unilateral and bilateral supraglottoplasty
Children who are being considered for supraglottoplasty
should always have their reflux addressed and corrected prior to surgical intervention.