Kelly S M, Gray S D
Division of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Md, USA.
Arch Otolaryngol Head Neck Surg. 1995 Dec;121(12):1351-4. doi: 10.1001/archotol.1995.01890120011002.
To evaluate the effectiveness of unilateral supraglottoplasty in the treatment of children with severe laryngomalacia.
Retrospective study.
Pediatric tertiary referral center.
Eighteen children with severe laryngomalacia. Indications for surgical intervention were obstructive apnea, failure to thrive, cyanosis, and/or cor pulmonale.
Unilateral carbon dioxide laser removal of redundant supraglottic tissue (supraglottoplasty).
Evaluation of relief of symptoms, need for subsequent contralateral procedure, and incidence of complications.
Three patients required treatment of the opposite side at a later date. There were no complications. Obstructive apnea and weight gain improved in all.
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.
评估单侧声门上成形术治疗重度喉软化症患儿的疗效。
回顾性研究。
儿科三级转诊中心。
18例重度喉软化症患儿。手术干预指征为阻塞性呼吸暂停、生长发育迟缓、发绀和/或肺心病。
二氧化碳激光单侧切除多余的声门上组织（声门上成形术）。
评估症状缓解情况、后续对侧手术需求及并发症发生率。
3例患者日后需要对另一侧进行治疗。无并发症发生。所有患者的阻塞性呼吸暂停和体重增加情况均有改善。
单侧声门上成形术可用于治疗大多数重度喉软化症患者。一小部分患者随后需要进行对侧手术。单侧声门上成形术可能比双侧声门上成形术并发症风险更低。
