Supraglottoplasty outcomes in laryngomalacia in children.

IF 2 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-09-18 DOI:10.1097/MOO.0000000000001086

James Johnston

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引用次数: 0

Abstract

Purpose of review: This review evaluates current evidence on outcomes following supraglottoplasty in children with laryngomalacia. Emphasis is placed on surgical indications, perioperative care, and short-term and long-term functional outcomes.

Recent findings: Contemporary studies confirm that supraglottoplasty significantly improves respiratory obstruction, feeding, and sleep-related symptoms for moderate-to-severe laryngomalacia. Patient selection remains critical, with prematurity, neurologic comorbidities, and swallowing dysfunction associated with higher revision and complication rates. Adjunctive investigations such as polysomnography and drug-induced sleep endoscopy increasingly guide tailored intervention strategies.

Summary: Supraglottoplasty remains the cornerstone of surgical management for severe laryngomalacia, with high success rates and generally low complication profiles. Surgical techniques, comorbidity profiles, and preoperative evaluation methods continue to evolve to optimize outcomes and minimize revision surgery.

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儿童喉软化症声门上成形术的疗效。

综述目的：本综述评价了喉软化症患儿声门上成形术的现有证据。重点放在手术指征，围手术期护理，短期和长期的功能结果。最新发现：当代研究证实，声门上成形术可显著改善中重度喉软化患者的呼吸阻塞、进食和睡眠相关症状。患者选择仍然至关重要，早产、神经合并症和吞咽功能障碍与更高的翻修和并发症发生率相关。辅助调查，如多导睡眠图和药物诱导睡眠内窥镜越来越多地指导量身定制的干预策略。摘要：声门上成形术仍然是严重喉软化手术治疗的基石，成功率高，并发症普遍较低。手术技术、合并症概况和术前评估方法不断发展，以优化结果并最大限度地减少翻修手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.