Supraglottoplasty was performed with a CO, laser to excise the excess mucosa.
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.
Esophageal nasogastric tube misplacement in an infant following laser supraglottoplasty
. Journal of Pediatric Nursing, 21(6), 454-455.
In babies who fail to thrive and do poorly, supraglottoplasty
surgery may be considered to remove tissue from around the larynx and improve feeding issues.
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.sub.2] laser, including excision of redundant supraglottic tissue on one side and of the posterior laryngeal mucosa, was performed.
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
was performed on 9 patients; 6 patients underwent an aryepiglottic fold division, and 4 underwent an arytenoid mucosal resection (1 patient underwent both procedures).
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
. They recommended the unilateral procedure as the first-line surgical treatment of severe laryngomalacia that requires surgery.
Children who are being considered for supraglottoplasty
should always have their reflux addressed and corrected prior to surgical intervention.