PMID: 2121945Nov 1, 1990Paper

Evaluation of epiglottoplasty as treatment for severe laryngomalacia

The Journal of Pediatrics
C L MarcusS L Ward

Abstract

Six patients with severe laryngomalacia underwent epiglottoplasty. Four of these patients had life-threatening episodes of airway obstruction before surgery; of these, two had required tracheal intubation and one had required cardiopulmonary resuscitation. Two patients had failure to thrive and two had cor pulmonale. Patients had required a mean of two hospitalizations related to upper airway obstruction. We performed polysomnography during a daytime nap, both before and after epiglottoplasty, in all patients. Respiratory effort, arterial oxygen saturation, and end-tidal carbon dioxide pressure were monitored with continuous electrocardiograms and electrooculograms. All patients had abnormal polysomnograms preoperatively. Six patients had obstructive apnea, four had hypoxemia (arterial oxygen saturation less than 90% while breathing room air), and four had hypoventilation (end-tidal carbon dioxide pressure greater than 45 mm Hg) before epiglottoplasty. Mean age (+/- SEM) at epiglottoplasty was 10.3 +/- 5.3 months. No patients had surgical complications. An endotracheal tube was in place for 25 +/- 7 hours postoperatively, and patients were discharged 4 +/- 1 days postoperatively. Polysomnography performed 2.8 +/- 1.0 months aft...Continue Reading

References

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Citations

Apr 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M R Baxter
Feb 27, 2001·International Journal of Pediatric Otorhinolaryngology·C W Senders, E G Navarrete
Feb 14, 1997·International Journal of Pediatric Otorhinolaryngology·P FroehlichA Morgon
May 1, 1996·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·S L Ward, C L Marcus
Sep 16, 2009·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Brigitte FaurouxAnnick Clément
Jan 5, 2000·American Journal of Respiratory and Critical Care Medicine·D W NielsonM Egger
Dec 6, 2001·American Journal of Respiratory and Critical Care Medicine·B FaurouxF Lofaso
Apr 10, 2007·International Journal of Pediatric Otorhinolaryngology·Kuo-Sheng LeeYu-Chun Chen
Jan 1, 2014·The Laryngoscope·Lauren C Anderson de Moreno, Bruce H Matt
Jul 3, 2016·International Journal of Pediatric Otorhinolaryngology·Chia-Fan LeeKun-Tai Kang
Apr 25, 2000·The Annals of Otology, Rhinology, and Laryngology·H A Milczuk, S M Johnson
Dec 29, 2000·The Annals of Otology, Rhinology, and Laryngology·A GolzH Z Joachims
Nov 1, 1995·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·K S WongT S Huang
May 10, 2002·The Journal of Craniofacial Surgery·Frank A PapayJames Arnold
May 16, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Nathan D VandjelovicPrasad John Thottam
Jul 22, 2008·The Laryngoscope·Mark E ZafereoKevin D Pereira
Jun 16, 2005·Pediatric Pulmonology·Shmuel GoldbergEitan Kerem
Dec 9, 2017·The European Respiratory Journal·Athanasios G KaditisStijn Verhulst
Oct 20, 2005·The Cochrane Database of Systematic Reviews·S SundaramT J Lasserson
Apr 22, 1999·The Journal of Laryngology and Otology·F J CatalfumoD Goldenberg

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