Long term Follow Up of Severe Laryngomalacia Patients Following CO 2 LASER Supraglottoplasty
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ORIGINAL ARTICLE
Long term Follow Up of Severe Laryngomalacia Patients Following CO2 LASER Supraglottoplasty Subash Bhatta1
•
Sachin Gandhi1 • Dushyanth Ganesuni1 • Asheesh Dora Ghanpur1
Received: 16 September 2020 / Accepted: 6 October 2020 Ó Association of Otolaryngologists of India 2020
Abstract Laryngomalacia is the most common cause of stridor. It is believed to be due to delayed development of the supraglottic structures. On the basis of presentation, it has been divided into 3 grades. Management is dependent upon the grades: Mild and moderate laryngomalacia are managed conservatively, while CO2 LASER supraglottoplasty is the surgical management of choice for severe disease. In this study we evaluated the outcomes of supraglottopasty in long term follow up. It was a retrospective study which included patients with severe laryngomalacia who have undergone supraglottoplasty for the dates from July 2013 to July 2018. Weight and height of the patients were taken during the follow up visit after one year and have been compared with that of the normal children of comparable age using the pediatrics growth charts. Follow up was done by telephonic conversation to evaluate the status of other symptoms associated with laryngomalacia. Total of 44 patients were included in the study, 47.7% and 52.3% females and males respectively. Weight for age, weight for height and height for age were normal in 80.9%, 80.9% and 76.1% of patients respectively after supraglottoplasty. Of the patients studied, stridor was resolved in 80.9%, early tiredness during play was resolved in 43.2%, swallowing was normal in 85.7% and there was no aspiration in 90.5%. It can be concluded that patients
This manuscript has been read and approved by all the authors and the requirements for authorship have been met. Each author approves that the manuscript represents original work. & Subash Bhatta [email protected] 1
with severe laryngomalacia improved with respect to airway symptoms, as well as, weight and height on long term follow up after CO2 LASER supraglottoplasty. It is important to evaluate the general status of the patients as a whole to truly assess the success of the surgery in addition to the airway symptoms. Keywords Layngomalacia CO2 LASER Supraglottoplasty Follow up
Introduction Laryngomalacia is defined as the delay in the development of the supraglottic structures causing their collapse on inspiration [1]. It is the most common cause of stridor in the newborn and may present with failure to thrive besides stridor [1–7]. On the basis of the presenting features laryngomalacia is divided into mild, moderate and severe grade, as shown in Table 1 [6]. Surgery is the treatment of choice for severe laryngomalacia [2–5]. After surgery, patients are observed in intensive care unit, and once stable, are discharged with the advice for proper follow up [2, 8, 9, 9–13]. The success of treatment is not only dependent on the resolution of the stridor, but we also have to evaluate the general condition and associated symptoms as desc
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