Department of Laryngology, Deenanath Mangeshkar Hospital and Research Centre, Pune, India.
Eur Arch Otorhinolaryngol. 2011 Oct;268(10):1479-83. doi: 10.1007/s00405-011-1631-x. Epub 2011 May 21.
Controversy exists as to the preferred treatment modality for managing refractory pediatric laryngomalacia (LM). Simultaneous bilateral procedures have been associated with supraglottic stenosis. Unilateral operations have a higher rate of secondary intervention. This prospective study was conceptualized to ascertain a preferred approach. A secondary goal was to correlate the surgical outcome with presenting symptoms and signs. Twenty-two children with severe LM met the criteria for enrollment. Bilateral CO(2) laser-assisted supraglottic laryngoplasties were performed in all cases. The procedure mainly consisted of division of the aryepiglottic fold. Nineteen (86%) patients met our defined success criteria. There were no surgical complications. Bilateral supraglottic laryngoplasty has a role in the management of severe refractory LM.
对于治疗难治性小儿喉软化症（LM），哪种治疗方式更优尚存争议。同期双侧手术与声门上狭窄有关。单侧手术的二次干预率更高。本前瞻性研究旨在确定一种优选方法。次要目标是将手术结果与临床表现相关联。22 例严重 LM 患儿符合入组标准。所有病例均行双侧 CO2 激光辅助悬雍垂- 声门上成形术。该手术主要包括杓会厌皱襞切开术。19 例（86%）患者符合我们定义的成功标准。无手术并发症。双侧悬雍垂- 声门上成形术在治疗严重难治性 LM 中具有一定作用。
