Laryngomalacia - the experience of the service in the last 6 years

Authors

  • Teresa Bernardo Interna ORL - CHVNG/ E. EPE, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Portugal
  • Edite Coimbra Ferreira Interna ORL - CHVNG/ E. EPE, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Portugal
  • Daniela Ribeiro Interna ORL - CHVNG/ E. EPE, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Portugal
  • Diamantino Helena Assistente Graduado ORL - CHVNG/ E.EPE, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Portugal
  • Artur Condé Chefe de Serviço ORL - CHVNG/ E.EPE, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Portugal
  • Agostinho Pereira Silva Chefe de Serviço ORL, Director de Serviço - CHVNG/ E.EPE, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Portugal

DOI:

https://doi.org/10.34631/sporl.250

Keywords:

Laryngomalacia, inspiratory stridor, nasofibrolaryngoscopy, supraglottoplasty

Abstract

The authors carried out a retrospective study based on the clinical processes of 21 children followed for laryngomalacia in the Service of ORL, CHVNG/E - EPE, between January of 2003 and January of 2009. The objective was to define the population, characterize the disease, and value the setup treatment and the infiuence of the presence of co-morbidities. The characteristics of the disease were similar to that described in the literature. lt was registered a high incidence of gastro esophageal refiux. Anti-refiux treatment was prescribed in 62 % of the cases with clinical improvement and surgery (supraglottoplasty with laser CO2} was performed in 29% without registered complications. lt was conclude that the children followed in the Service do not refiect the incidence of this pathology in this geographical area. lt is advised to consider nasofibrolaryngoscopy as the technique of choice in the diagnosis of the laryngomalacia.

References

Olney DR, Greinwald JH Jr, Smith RJ, Bauman NM. Laryngomalacia and its treatment. Laryngoscope. 1999 Nov; 109(11): 1770-5.

Schroeder JW Jr, Thakkar KH, Poznanovic SA, Holinger LD. Aspiration following CO(2) laser-assisted supraglottoplasty. Int J Pediatr Otorhinolaryngol. 2008 Jul; 72(7): 985-90. Epub 2008 Apr 29.

Zafereo ME, Taylor RJ, Pereira KD. Supraglottoplasty for laryngomalacia with obstructive sleep apnea. Laryngoscope. 2008 Oct;118(10):1873-7.

Thompson DM. Abnormal sensorimotor integrative function of the larynx in congenital laryngomalacia: a new theory of etiology. Laryngoscope. 2007 Jun;117 (6 Pt 2 Suppl 114):1-33.

Richter GT, Thompson DM. The surgical management of laryngomalacia. Otolaryngol Clin North Am. 2008 Oct;41(5):837-64, VII.

Senders CW, Navarrete EG. Laser supraglottoplasty for laryngomalacia: are specific anatomical defects more influential than associated anomalies on outcome? Int J Pediatr Otorhinolaryngol. 2001 Mar; 57(3):235-44.

Chandra RK, Gerber ME, Holinger LD. Histological insight into the pathogenesis of severe laryngomalacia. Int J Pediatr Otorhinolaryngol. 2001 Oct 19; 61(1):31-8.

Fauroux B, Pigeot J, Polkey MI, Roger G et al. Chronic stridor caused by laryngomalacia in children: work of breathing and effects of noninvasive ventilatory assistance. Am J Respir Crit Care Med. 2001 Nov 15;164(10 Pt 1):1874-8.

O'Sullivan BP., Finger L., Zwerdling RG. Use of Nasopharyngosopy in the Evaluation of Children with Noisy Breathing. CHEST. 2004; 125:1265-1269.

Sivan Y, Ben-Ari J. Soferman R, DeRowe A. Diagnosis of Laryngomalacia by Fiberoptic Endoscopy. CHEST. 2006; 130: 1412-1418.

Zalzal GH, Collins WO. Microdebrider-assisted supraglottoplasty. Int J Pediatr Otorhinolaryngol. 2005 Mar;69(3):305-9. Epub 2004 Dec 8.

Stavroulaki P. Diagnostic and management problems of laryngopharyngeal reflux disease in children. Int J Pediatr Otorhinolaryngol. 2006 Apr;70(4):579-90. Epub 2005 Dec 15.

Rosbe KW, Kenna MA, Auerbach AD. Extraesophageal reflux in pediatric patients with upper respiratory symptoms. Arch Otolaryngol Head Neck Surg. 2003 Nov; 129(11):1213-20.

How to Cite

Bernardo, T., Coimbra Ferreira, E., Ribeiro, D., Helena, D., Condé, A., & Pereira Silva, A. (2009). Laryngomalacia - the experience of the service in the last 6 years. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 47(3), 209–212. https://doi.org/10.34631/sporl.250