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  • Title: Unilateral endoscopic supraglottoplasty for severe laryngomalacia.
    Author: Kelly SM, Gray SD.
    Journal: Arch Otolaryngol Head Neck Surg; 1995 Dec; 121(12):1351-4. PubMed ID: 7488362.
    Abstract:
    OBJECTIVE: To evaluate the effectiveness of unilateral supraglottoplasty in the treatment of children with severe laryngomalacia. DESIGN: Retrospective study. SETTING: Pediatric tertiary referral center. PATIENTS: Eighteen children with severe laryngomalacia. Indications for surgical intervention were obstructive apnea, failure to thrive, cyanosis, and/or cor pulmonale. INTERVENTIONS: Unilateral carbon dioxide laser removal of redundant supraglottic tissue (supraglottoplasty). OUTCOME MEASURES: Evaluation of relief of symptoms, need for subsequent contralateral procedure, and incidence of complications. RESULTS: Three patients required treatment of the opposite side at a later date. There were no complications. Obstructive apnea and weight gain improved in all. CONCLUSIONS: Unilateral supraglottoplasty can be used to treat severe laryngomalacia in most patients. A small percentage of patients will subsequently require a contralateral procedure. Unilateral supraglottoplasty may have less risk of complications than bilateral supraglottoplasty.
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