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Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
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Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA

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Laryngomalacia

Joshua Bedwell1, George Zalzal1

  • 1Division of Otolaryngology, Children's National Medical Center, 111 Michigan Ave NW, Washington, DC 20010.

Seminars in Pediatric Surgery
|June 16, 2016
PubMed

Insights

Laryngomalacia, a common cause of infant stridor, often resolves by age two. For severe cases, supraglottoplasty offers excellent results, though it

Area of Science:

  • Pediatric Otolaryngology
  • Neonatal Respiratory Disorders

Background:

  • Laryngomalacia is the most frequent cause of stridor in newborns.
  • Symptoms include inspiratory stridor and feeding difficulties, with severe cases showing apnea and failure to thrive.

Purpose of the Study:

  • To review the management and outcomes of laryngomalacia.
  • To evaluate the efficacy and safety of supraglottoplasty for severe cases.

Main Methods:

  • Conservative management is the primary approach for most infants.
  • Surgical intervention, specifically supraglottoplasty, is considered for approximately 10% of patients with persistent or severe symptoms.

Main Results:

  • Most cases of laryngomalacia resolve spontaneously between 12 and 24 months of age.
  • Supraglottoplasty demonstrates excellent outcomes with a low incidence of severe complications like stenosis or aspiration.
  • The effectiveness of supraglottoplasty may be reduced in neonates with significant comorbidities, such as neurological conditions.

Conclusions:

  • Laryngomalacia management is typically conservative, with most infants improving by age two.
  • Supraglottoplasty is a safe and effective surgical option for severe laryngomalacia, though comorbidities can impact results.

Keywords:
Laryngomalaciaairway surgerystridorsupraglottoplasty

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