Service ORL pédiatrique, hôpital femme-mère-enfant, 59, boulevard Pinel, 69500 Bron, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2013 Feb;130(1):15-21. doi: 10.1016/j.anorl.2012.04.003. Epub 2012 Jul 24.
Laryngomalacia is the most common laryngeal disease of infancy. It is poorly tolerated in 10% of cases, requiring assessment and management, generally surgical. Surgery often consists of supraglottoplasty, for which a large number of technical variants have been described. This surgery, performed in an appropriate setting, relieves the symptoms in the great majority of cases with low morbidity. However, few data are available concerning the objective results: preoperative and postoperative objective assessment of these infants is therefore necessary whenever possible. Noninvasive ventilation (NIV) may be indicated in some infants with comorbid conditions or failing to respond to surgical management.
先天性喉软化是婴儿期最常见的喉部疾病。10%的患儿症状不能被很好地耐受，需要评估和管理，通常采用手术治疗。手术通常包括杓状软骨切除术，该手术有许多技术变异。在适当的情况下进行手术，绝大多数患儿的症状得到缓解，且并发症发生率低。然而，关于手术的客观结果数据很少。因此，只要可能，就应对这些婴儿进行术前和术后的客观评估。对于存在合并症或对手术治疗无反应的婴儿，可能需要无创通气（NIV）。
