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Steven M. Kelly, MD; Steven D. Gray, MD

Arch Otolaryngol Head Neck Surg. 1995;121(12):1351-1354.

Abstract
Objective
To evaluate the effectiveness of unilateral supraglottoplasty in the treatment of children with severe laryngomalacia.

Design
Retrospective study.

Setting
Pediatric tertiary referral center.

Patients
Eighteen children with severe laryngomalacia. Indications for surgical intervention were obstructive apnea, failure to thrive, cyanosis, and/or cor pulmonale.

Interventions
Unilateral carbon dioxide laser removal of redundant supraglottic tissue (supraglottoplasty).

Outcome Measures
Evaluation of relief of symptoms, need for subsequent contralateral procedure, and incidence of complications.

Results
Three patients required treatment of the opposite side at a later date. There were no complications. Obstructive apnea and weight gain improved in all.

Conclusions
Unilateral supraglottoplasty can be used to treat severe laryngomalacia in most patients. A small percentage of patients will subsequently require a contralateral procedure. Unilateral supraglottoplasty may have less risk of complications than bilateral supraglottoplasty.

(Arch Otolaryngol Head Neck Surg. 1995;121:1351-1354)

Author Affiliations
From the Divisions of Otolaryngology—Head and Neck Surgery, The Johns Hopkins University, Baltimore, Md (Dr Kelly), and University of Utah Medical Center, Salt Lake City (Dr Gray).

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