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European Annals of Otorhinolaryngology, Head and Neck Diseases
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le mercredi 25 juillet 2012
Doi : 10.1016/j.anorl.2012.04.003
Management of laryngomalacia
 

S. Ayari a, G. Aubertin b, H. Girschig c, T. Van Den Abbeele d, F. Denoyelle e, V. Couloignier f, M. Mondain g, ⁎
a Service ORL pédiatrique, hôpital femme-mère-enfant, 59, boulevard Pinel, 69500 Bron, France 
b Service de pneumo-pédiatrie, hôpital Armand-Trousseau, 26, rue du Docteur-Arnold-Netter, 75012 Paris, France 
c ORL, 173, route de Desvres, 62280 Saint-Martin-Boulogne, France 
d Service d’ORL, hôpital Robert-Debré, 48, boulevard Sérurier, 75935 Paris, France 
e Service d’ORL pédiatrique, hôpital Armand-Trousseau, 26, rue du Docteur-Arnold-Netter, 75012 Paris, France 
f Service d’ORL, hôpital Necker, 149, rue de Sèvres, 75015 Paris, France 
g Service d’ORL, CHU de Montpellier, 37, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France 

Corresponding author.
Summary

Laryngomalacia is the most common laryngeal disease of infancy. It is poorly tolerated in 10% of cases, requiring assessment and management, generally surgical. Surgery often consists of supraglottoplasty, for which a large number of technical variants have been described. This surgery, performed in an appropriate setting, relieves the symptoms in the great majority of cases with low morbidity. However, few data are available concerning the objective results: preoperative and postoperative objective assessment of these infants is therefore necessary whenever possible. Noninvasive ventilation (NIV) may be indicated in some infants with comorbid conditions or failing to respond to surgical management.


Keywords : Stridor, Laryngomalacia, NIV, Laser, Supraglottoplasty


OutlineMasquer le plan
Medical treatment and laryngomalacia
Surgical treatment of laryngomalacia  (+)
Methods and indications for noninvasive ventilation in laryngomalacia  (+)
Conclusion
Disclosure of interest


© 2012  Published by Elsevier Masson SAS.
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