Aryepiglottoplasty for laryngomalacia: results and recommendations following a case series of 84.
Int J Pediatr Otorhinolaryngol
; 71(8): 1271-5, 2007 Aug.
Article
em En
| MEDLINE
| ID: mdl-17597233
ABSTRACT
OBJECTIVES:
To examine one consultant's experience of aryepiglottoplasty at Leeds General Infirmary. To identify risk factors for post-operative complications. Comparing the outcomes of surgery with the published literature on aryepiglottoplasty.DESIGN:
A retrospective case series of consecutive patients undergoing aryepiglottoplasty identified from theatre records.SETTING:
The Otolaryngology Department, Leeds General Infirmary. This is part of Leeds Teaching Hospitals NHS Trust and is a tertiary referral centre with regional paediatric intensive care unit (PICU) and specialises in managing paediatric airway pathology.PARTICIPANTS:
Ninety-one consecutive cases of aryepiglottoplasties, between 1997 and 2005. The medical records for 84 cases were reviewed. MAIN OUTCOMEMEASURES:
Unplanned admissions to PICU, complication rate, length of post-operative hospital stay, and successful resolution of symptoms amongst our patient group.RESULTS:
The primary indication for surgery was found to be severe stridor. There was a low rate (3.6%) of unplanned admissions to the PICU. 7.1% of patients suffered a post-operative aspiration pneumonia. The majority (66.7%) of patients were able to return home after just one night in hospital. 11.9% of patients continued to have some stridor at follow-up.CONCLUSIONS:
The majority of patients undergoing aryepiglottoplasty for isolated laryngomalacia can be monitored overnight on a paediatric surgical ward and return home the following day (85%). Furthermore, they should expect improvement of their stridor with a single procedure (90%). Aryepiglottoplasty at an experienced unit is a low-risk procedure with a high success rate.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cartilagem Aritenoide
/
Refluxo Gastroesofágico
/
Sons Respiratórios
/
Doenças da Laringe
/
Obstrução das Vias Respiratórias
/
Epiglote
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
/
Infant
Idioma:
En
Revista:
Int J Pediatr Otorhinolaryngol
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Reino Unido