Abstract：
UNASSIGNED: Severe laryngomalacia, characterized by apnea, hypoxia, and feeding difficulties, is an uncommon diagnosis that often requires surgical intervention with supraglottoplasty. Children who require surgery at a young age and those with additional comorbidities pose a special challenge and may require further surgical interventions. Posterior displacement of the epiglottis has been noted in some infants with congenital stridor and is commonly treated with epiglottopexy. The goal of our study is to review the outcomes of epiglottopexy combined with supraglottoplasty in our cohort of infants younger than 6 months old with severe laryngomalacia.
UNASSIGNED: A retrospective chart review of infants younger than 6 months old who underwent epiglottopexy combined with supraglottoplasty for severe laryngomalacia from January 2018 to July 2021 at a tertiary care children\'s hospital.
UNASSIGNED: 13 patients (age 1.3 week-5.2 months) underwent supraglottoplasty and epiglottopexy for severe laryngomalacia and epiglottis retroflection. The patients were admitted to the intensive care unit and remained intubated for at least one night. All patients demonstrated subjective and objective improvement in upper airway respiratory signs and symptoms. Ten patients demonstrated aspiration immediately postoperatively, despite 4 of them having no concern for aspiration at preoperative evaluation. On follow-up, 1 patient required revision supraglottoplasty and epiglottopexy for persistent laryngomalacia, and 2 patients required tracheostomy tube placement due to cardiopulmonary comorbidities.
UNASSIGNED: Infants younger than 6 months old with medical comorbidities undergoing epiglottopexy with supraglottoplasty may demonstrate significant improvement in respiratory symptoms. Worsening dysphagia may complicate the postoperative period, particularly among children with medical comorbidities.
UNASSIGNED: A retrospective chart review of infants younger than 6 months old who underwent epiglottopexy combined with supraglottoplasty for severe laryngomalacia from January 2018 to July 2021 at a tertiary care children\'s hospital.
UNASSIGNED: 13 patients (age 1.3 week-5.2 months) underwent supraglottoplasty and epiglottopexy for severe laryngomalacia and epiglottis retroflection. The patients were admitted to the intensive care unit and remained intubated for at least one night. All patients demonstrated subjective and objective improvement in upper airway respiratory signs and symptoms. Ten patients demonstrated aspiration immediately postoperatively, despite 4 of them having no concern for aspiration at preoperative evaluation. On follow-up, 1 patient required revision supraglottoplasty and epiglottopexy for persistent laryngomalacia, and 2 patients required tracheostomy tube placement due to cardiopulmonary comorbidities.
UNASSIGNED: Infants younger than 6 months old with medical comorbidities undergoing epiglottopexy with supraglottoplasty may demonstrate significant improvement in respiratory symptoms. Worsening dysphagia may complicate the postoperative period, particularly among children with medical comorbidities.
摘要：
■严重的喉软化症，以呼吸暂停为特征，缺氧,和喂养困难，是一种罕见的诊断，通常需要进行声门上成形术的手术干预。年轻时需要手术的儿童和有其他合并症的儿童构成了特殊的挑战，可能需要进一步的手术干预。在一些患有先天性喘鸣的婴儿中已经注意到会厌后移位，通常采用会厌固定术治疗。我们研究的目的是回顾在我们的6个月以下患有严重喉软化症的婴儿队列中，会厌固定术联合声门上成形术的结果。
回顾性图表回顾了2018年1月至2021年7月在三级保健儿童医院接受会厌连接联合声门上成形术治疗严重喉软化的6个月以下婴儿。
■13例患者（年龄1.3周-5.2个月）接受了声门上成形术和会厌固定术治疗严重的喉软化和会厌逆行。患者被送入重症监护病房，并保持插管至少一晚。所有患者均表现出上呼吸道呼吸体征和症状的主观和客观改善。10例患者术后立即出现误吸，尽管其中4人在术前评估时不担心误吸。关于后续行动，1例患者因持续性喉软化症需要翻修声门上成形术和会厌固定术，2例患者因心肺合并症需要气管切开置管。
■6个月以下有医疗合并症的婴儿进行会厌固定术并进行声门上成形术可能显示出呼吸道症状的显着改善。严重的吞咽困难可能会使术后时期复杂化，特别是在有医疗合并症的儿童中。
回顾性图表回顾了2018年1月至2021年7月在三级保健儿童医院接受会厌连接联合声门上成形术治疗严重喉软化的6个月以下婴儿。
■13例患者（年龄1.3周-5.2个月）接受了声门上成形术和会厌固定术治疗严重的喉软化和会厌逆行。患者被送入重症监护病房，并保持插管至少一晚。所有患者均表现出上呼吸道呼吸体征和症状的主观和客观改善。10例患者术后立即出现误吸，尽管其中4人在术前评估时不担心误吸。关于后续行动，1例患者因持续性喉软化症需要翻修声门上成形术和会厌固定术，2例患者因心肺合并症需要气管切开置管。
■6个月以下有医疗合并症的婴儿进行会厌固定术并进行声门上成形术可能显示出呼吸道症状的显着改善。严重的吞咽困难可能会使术后时期复杂化，特别是在有医疗合并症的儿童中。
