Epiglottopexy by external puncture for epiglottic prolapse in severe laryngomalacia. A novel technique - 13/03/19
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Abstract |
Introduction |
Laryngomalacia (LM) is the first cause of stridor in infants. 10 to 20% of patients with LM may require surgery due to the development of severe symptoms. Supraglottoplasty is the most commonly performed surgery for severe LM. However, it is insufficient for the rostrocaudal displacement of the epiglottis against the posterior pharyngeal wall.
Case summary |
We report a case of a 2-month-old infant with severe laryngomalacia with a remarkable collapse of the epiglottis towards the glottis with secondary obstruction of the airway, alteration in swallowing and failure to thrive. The patient was treated satisfactorily through epiglottopexy by an external puncture. During a follow-up of 2 years, the patient has been asymptomatic, without any adverse event.
Discussion |
Glottic obstruction from posterior epiglottic collapse is the most severe type of laryngomalacia, generating severe respiratory symptoms and failure to thrive. Epiglottopexy by external puncture is a new technique, certainly affordable since it does not require special instruments and it can be performed in medical centers through suspension laryngoscopy. It can be achieved alone or in combination with traditional supraglottoplasty.
Le texte complet de cet article est disponible en PDF.Keywords : Laryngomalacia, Stridor, Epiglottopexy, Airway management
Plan
Vol 136 - N° 2
P. 115-117 - avril 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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