Adult epiglottic laryngomalacia and its surgical management
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20252990Keywords:
Adult epiglottic laryngomalacia, Diathermy, Endoscopic partial epiglottectom, Floppy epiglottis, Flexible laryngoscopyAbstract
Floppy and elongated epiglottis in adults causing airway obstruction is a rare clinical condition which needs immediate surgical intervention. We present a case series of six patients who presented in the outpatient department with floppy epiglottis based on the history and clinical examination and laryngoscopic findings which were managed by endoscopic partial epiglottectomy using diathermy. Surgical outcomes were assessed on outpatient follow up for next six months which showed improvement in the quality of life. Hence, this novel technique of diathermy improved the symptoms in adult epiglottic laryngomalacia.
Metrics
References
Siou GS, Jeannon JP, Stafford FW. Acquired idiopathic laryngomalacia treated by laser aryepiglottoplasty. J Laryngol Otol. 2002;116(9):733-5. DOI: https://doi.org/10.1258/002221502760238073
Zalzal GH, Anon JB, Cotton RT. Epiglottoplasty for the treatment of laryngomalacia. Ann Otol Rhinol Laryngol. 1987;96(1):72-6. DOI: https://doi.org/10.1177/000348948709600118
Kavanagh KT, Babin RW. Endoscopic surgical management for laryngomalacia: Case report and review of the literature. Ann Otol Rhinol Laryngol. 1987;96(6):650-3. DOI: https://doi.org/10.1177/000348948709600606
Kwon OE, Jung SY, Al-Dilaijan K, Jin-Young M, Lee KH, Kim SW. Is epiglottis surgery necessary for obstructive sleep apnea patients with epiglottis obstruction? Laryngoscope. 2019;129(11):2658-62. DOI: https://doi.org/10.1002/lary.27808
Torre C, Macario C, Yung-Chuan LS, Leh-Kiong H, Robson C. Epiglottis collapse in adult obstructive sleep apnea: a systematic review. Laryngoscope. 2016;126(2):515-23. DOI: https://doi.org/10.1002/lary.25589
Cassano M. Endoscopic coblator-assisted epiglottoplasty in'obstructive sleep apnoea syndrome'patients. Clin Otolaryngol. 2017;42(5):1112-4. DOI: https://doi.org/10.1111/coa.12536
Oluwasanmi AF, Mal RK. Diathermy epiglottectomy: endoscopic technique. J Laryngol Otol. 2001;115(4):289-92. DOI: https://doi.org/10.1258/0022215011907479
Rowe-Jones J, Moore-Gillon V, Hamilton P. Acquired laryngomalacia: epiglottis prolapse as a cause of airway obstruction. Ann Otol Rhinol Laryngol. 1993;102(6):485-6.