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Rastatter JC, Schroeder JW, Hoff SR, et al. Aspiration before and after Supraglottoplasty regardless of Technique. Int J Otolaryngol. 2010;2010:912814doi: 10.1155/2010/912814.
Rastatter, J. C., Schroeder, J. W., Hoff, S. R., & Holinger, L. D. (2010). Aspiration before and after Supraglottoplasty regardless of Technique. International journal of otolaryngology, 2010912814. https://doi.org/10.1155/2010/912814
Rastatter, Jeffrey C, et al. "Aspiration before and after Supraglottoplasty regardless of Technique." International journal of otolaryngology vol. 2010 (2010): 912814. doi: https://doi.org/10.1155/2010/912814
Rastatter JC, Schroeder JW, Hoff SR, Holinger LD. Aspiration before and after Supraglottoplasty regardless of Technique. Int J Otolaryngol. 2010;2010:912814. doi: 10.1155/2010/912814. Epub 2010 Nov 21. PMID: 21113300; PMCID: PMC2989454.
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Int J Otolaryngol. 2010;2010:912814. doi: 10.1155/2010/912814. Epub 2010 Nov 21.

Aspiration before and after Supraglottoplasty regardless of Technique.

International journal of otolaryngology

Jeffrey C Rastatter, James W Schroeder, Stephen R Hoff, Lauren D Holinger

Affiliations

  1. Division of Pediatric Otolaryngology, Children's Memorial Hospital, 2300 Childrens Plaza, Box no. 25, Chicago, IL 60614, USA.

PMID: 21113300 PMCID: PMC2989454 DOI: 10.1155/2010/912814

Abstract

Objective. To determine the incidence of preoperative and postoperative aspiration in infants who undergo supraglottoplasty. To determine the effect of cold steel and CO(2) laser supraglottoplasty on aspiration in infants with severe laryngomalacia. Design. Retrospective study. Setting. Tertiary pediatric hospital. Patients. Thirty-nine patients who underwent CO(2) laser-assisted supraglottoplasty (CLS) or cold steel supraglottoplasty (CSS) for severe laryngomalacia. Main Outcome Measures. Aspiration and upper-airway obstruction. Results. Thirty-nine patients met inclusion criteria (18 males, 21 females). Eighteen patients underwent CSS and 21 patients underwent CLS. 10/39 (25.6%) of the patients had preoperative aspiration, and 2/10 (20%) resolved after supraglottoplasty. New onset aspiration was found in 4/13 (30.8%) in the CSS group and 9/16 (56.3%) in the CLS group. Conclusions. There is no significant difference in the rate of postoperative new-onset aspiration or relief of upper-airway obstruction in the CLS or CSS, is temporary and can be managed with thickened diet or temporary tube feedings. The rate of persistent postoperative aspiration was statistically similar regardless of the method of surgery.

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