Bredun Sergii, Kotowski Michal, Mezydlo Jakub, Szydlowski Jaroslaw
Department of Pediatric Otolaryngology, Poznan University of Medical Sciences, 27/33 Szpitalna Street, 60-572 Poznan, Poland.
Diagnostics (Basel). 2023 Oct 11;13(20):3180. doi: 10.3390/diagnostics13203180.
Laryngomalacia (LM) is the most common airway congenital anomaly and the main cause of stridor in infants. Some patients with severe airway symptoms or with feeding difficulties require surgical intervention. Synchronous airway lesions (SALs) may influence the severity and course of the disease. This study aimed to determine the prevalence of various types of LM and SALs and their influence on surgical intervention decisions and feeding difficulties. Moreover, the study focused on the interrelations between SALs and the type of LM or the presence of feeding difficulties. A retrospective analysis of 106 pediatric patients revealed a significant relationship between type 2 LM and the necessity of surgical treatment. We also found a significant effect of LM type 2 on feeding difficulty. Type 1 LM is significantly more characteristic in premature children. Among different comorbidities, SALs are suspected of modification of the course and severity of LM. This study did not find a significant effect of SALs on the incidence of supraglottoplasty or feeding difficulty.
喉软化症（LM）是最常见的气道先天性异常，也是婴儿喘鸣的主要原因。一些有严重气道症状或喂养困难的患者需要手术干预。同步气道病变（SALs）可能会影响疾病的严重程度和病程。本研究旨在确定各种类型的LM和SALs的患病率及其对手术干预决策和喂养困难的影响。此外，该研究重点关注SALs与LM类型或喂养困难之间的相互关系。对106例儿科患者的回顾性分析显示，2型LM与手术治疗的必要性之间存在显著关系。我们还发现2型LM对喂养困难有显著影响。1型LM在早产儿中更为显著。在不同的合并症中，SALs被怀疑会改变LM的病程和严重程度。本研究未发现SALs对声门上成形术的发生率或喂养困难有显著影响。
