Related Experiment Video
Updated: Jun 25, 2026
Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
Endoscopic laser for severe laryngomalacia
Rajan Joshi1, Farzana Shaikh, Sachin Gandhi
1Department of Pediatrics and ENT, Deenanath Mangeshkar Hospital, Erandwane, Pune, India. rajanvjoshi@yahoo.com
Insights
Pediatric stridor evaluation is crucial. Severe laryngomalacia, a common cause, significantly improves with diode laser surgery, offering good outcomes for affected children.
Area of Science:
- Pediatric Otolaryngology
- Laser Surgery
- Respiratory Medicine
Background:
- Stridor in children necessitates thorough investigation.
- Laryngomalacia is the most frequent cause of pediatric stridor.
- While often benign, severe laryngomalacia can lead to significant morbidity and mortality in approximately 10% of cases.
Purpose of the Study:
- To evaluate the effectiveness of diode laser surgery for severe laryngomalacia in pediatric patients.
- To assess the outcomes of surgical intervention for stridor caused by laryngomalacia.
Main Methods:
- A cohort of 32 pediatric patients with stridor was evaluated.
- Diagnostic tools included fiberoptic laryngoscopy and, when necessary, direct endoscopy.
- Eight patients with severe laryngomalacia underwent diode laser surgical correction.
Main Results:
- Laryngomalacia was diagnosed in 13 (40%) of the evaluated patients.
- All 8 patients who underwent diode laser surgery for severe laryngomalacia demonstrated clear improvement post-procedure.
- The study indicates positive results from laser surgical correction for severe cases.
Conclusions:
- Diode laser surgery is an effective treatment for severe laryngomalacia in children.
- Prompt surgical intervention can significantly improve outcomes for pediatric patients with severe stridor due to laryngomalacia.
Abstract:
Stridor in the pediatric age group needs detailed evaluation. Laryngomalacia, the commonest cause of stridor is mostly benign, but in about 10% patients can be an important cause of morbidity and mortality. Laser surgical correction in patients with severe laryngomalacia gives good results. We evaluated 32 patients of stridor. All were screened with fibreoptic laryngoscopy and whenever indicated, direct endoscopy was carried out. 13 (40%) of the patients had laryngomalacia. Of these, 8 had severe laryngomalacia and underwent treatment with diode laser. All of them showed definite post procedure improvement.
