Special considerations for medical management post supraglottoplasty in various clinical contexts
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20251526Keywords:
Laryngomalacia, Supraglottoplasty, Steroids, RefluxAbstract
Laryngomalacia is the most common cause of stridor in the pediatric population. A subset of patients with laryngomalacia ultimately require surgical repair in the form of supraglottoplasty. Variability exists not only in surgical technique but also in the post operative medical management regimen. By reviewing the existing literature, we aim to summarize unique clinical contexts that should be considered and that necessitate modifications to medical management post operatively for optimal healing and outcomes.
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References
Carter J, Rahbar R, Brigger M, Chan K, Cheng A, Daniel SJ, et al. International Pediatric ORL Group (IPOG) laryngomalacia consensus recommendations. Int J Pediatr Otorhinolaryngol. 2016;86:256-61. DOI: https://doi.org/10.1016/j.ijporl.2016.04.007
Denoyelle F, Mondain M, Gresillon N, Roger G, Chaudre F, Garabedian EN. Failures and complications of supraglottoplasty in children. Arch Otolaryngol Head Neck Surg. 2003;129(10):1077-80. DOI: https://doi.org/10.1001/archotol.129.10.1077
Ramprasad VH, Ryan MA, Farjat AE, Eapen RJ, Raynor EM. Practice patterns in supraglottoplasty and perioperative care. Int J Pediatr Otorhinolaryngol. 2016;86:118-23. DOI: https://doi.org/10.1016/j.ijporl.2016.04.039
McCaffer C, Blackmore K, Flood LM. Laryngomalacia: is there an evidence base for management? J Laryngol Otol. 2017;131(11):946-54. DOI: https://doi.org/10.1017/S0022215117002092
Sowa LE, Stillwell PC, Houin PR, Nguyen N, Prager JD, Wine T, et al. Prophylactic inhaled corticosteroids for the management of recurrent croup. Int J Pediatr Otorhinolaryngol. 2023;170:111600. DOI: https://doi.org/10.1016/j.ijporl.2023.111600