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Published on: August 24, 2019
Surgical Intervention for Exercise-Induced Laryngeal Obstruction
John-Helge Heimdal1, Robert Maat2, Leif Nordang3
1Department of Surgery, Haukeland University Hospital, Bergen University, Bergen, Norway; Department of Otorhinolaryngology, Head and Neck Surgery, Haukeland University Hospital, Bergen University, Bergen, Norway.
Exercise-induced laryngeal obstruction (EILO) can cause breathing difficulties. Surgery for supraglottic EILO, like supraglottoplasty, is irreversible and should be reserved for severe cases unresponsive to conservative treatments.
Area of Science:
- Otolaryngology
- Respiratory Medicine
- Pediatric Surgery
Background:
- Exercise-induced laryngeal obstruction (EILO) presents as respiratory distress during physical activity.
- Supraglottic EILO shares similarities with congenital laryngomalacia (CLM), prompting surgical interventions used for CLM.
- Published data on surgical treatment for EILO is limited.
Purpose of the Study:
- To review and summarize the existing literature on surgical interventions for supraglottic EILO.
- To evaluate the efficacy and risks associated with surgical treatment of EILO.
Main Methods:
- Systematic review of published studies on surgical treatment of EILO.
- Analysis of surgical procedures, outcomes, and complications.
Main Results:
- Supraglottoplasty is a common surgical approach for supraglottic EILO.
- This procedure is irreversible and carries potential risks and complications.
- Surgical intervention is considered for patients with significant quality of life impairment.
Conclusions:
- Surgical treatment for EILO, particularly supraglottoplasty, should be carefully considered.
- Indications for surgery include failure of conservative management and significant impact on quality of life.
- The irreversible nature and potential complications necessitate a conservative approach to surgical indications.
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