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Evaluation of growth curves in children after supraglottoplasty
1LSU Health Shreveport Department of Otolaryngology, 1501 Kings Highway, Shreveport, LA.
Insights
Monitoring weight growth curves after supraglottoplasty is a sensitive indicator of operative success. Children undergoing this procedure show significant weight gain, normalizing growth patterns even in cases of failure to thrive.
Area of Science:
- Pediatric Otolaryngology
- Growth and Development
- Surgical Outcomes Evaluation
Background:
- Supraglottoplasty is a surgical procedure for congenital or acquired conditions affecting the larynx.
- Patients undergoing supraglottoplasty are often underweight, impacting their overall health and development.
- Objective parameters are needed to effectively evaluate the success of this intervention.
Purpose of the Study:
- To assess the utility of monitoring weight growth curves as an objective measure of outcomes following supraglottoplasty.
- To determine if weight gain post-supraglottoplasty correlates with improved operative results.
Main Methods:
- A retrospective chart review was conducted on patients who underwent supraglottoplasty.
- Data collected included preoperative and postoperative weight percentiles at 3 months, 12 months, and 3 years.
- Statistical analysis was performed to evaluate changes in weight percentiles.
Main Results:
- The study included 20 patients, with 75% being male and 45% African American.
- Preoperative average weight was at the 29.8 percentile, with 30% exhibiting failure to thrive.
- Significant weight gain was observed postoperatively, with average weight reaching the 64.5 percentile by 3 years, indicating normalization of growth patterns.
Conclusions:
- Supraglottoplasty leads to statistically significant weight gain in pediatric patients.
- Weight growth curves serve as a sensitive and objective parameter for evaluating operative outcomes after supraglottoplasty.
- The procedure can normalize growth patterns by three years post-surgery, even in children with failure to thrive.
Objectives:
To determine if monitoring weight growth curves is a sensitive objective parameter for evaluating operative outcomes after supraglottoplasty.
Study Design:
Retrospective chart review.
Methods:
An IRB approved retrospective review of patients who underwent supraglottoplasty from 2/28/2012 to 10/20/2014 by the otolaryngology department at a single institution was performed. Variables collected included age, race, sex, preoperative weight percentiles, and weight percentiles at 3 month, 12 month, and 3 year followup intervals.
Results:
20 patients met inclusion criteria. 15 (75%) patients were male and 5 (25%) were female. 9 (45%) patients were African American, 8 (40%) were Caucasian, and 3 (15%) were other. Average weight for age at surgery was 29.8 percentile. 6 (30%) had failure to thrive by weight. By 3 months postop average weight had increased by 7.67 percentile (p=0.09, 95% CI -1.62 to 17.0), by 12 months there was an observed increase of 19.1 percentile (p=0.06, 95% CI 0.47-37.8), and by 3 years the average weight had increased by 26.53 percentile (p=0.03, 95% CI 4.47-48.59). By three years postop the average weight had normalized (64.5 percentile). Among those who met preoperative failure to thrive criteria (average 0.11 percentile), weight gain was still dramatic with average weight percentile of 37.5 by 3 years postop.
Conclusion:
Patients undergoing supraglottoplasty are typically underweight for age. Statistically significant weight gain occurs in children after going supraglottoplasty. This intervention can normalize their growth chart growth patterns by 3 years postoperatively, even in children with failure to thrive.
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