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Related Experiment Video

Updated: Dec 12, 2025

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

Joseph D Peterson1, Vinay Goyal2, Michael D Puricelli1

  • 1Department of Otolaryngology, Head and Neck Surgery, University of Iowa, Iowa City, IA, USA.

The Annals of Otology, Rhinology, and Laryngology
|August 11, 2020
PubMed
Summary
This summary is machine-generated.

A novel lateral epiglottic defect, potentially caused by medical procedures, is described in two children with feeding difficulties. This finding expands the understanding of epiglottic abnormalities in pediatric patients.

Keywords:
epiglottisiatrogenic injurypediatric

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Area of Science:

  • Pediatric Otolaryngology
  • Congenital Abnormalities
  • Iatrogenic Injury

Background:

  • Congenital epiglottic abnormalities are rare but documented.
  • Iatrogenic injuries to the larynx and subglottis are recognized complications.

Observation:

  • Two pediatric cases presented with lateral notch defects at the aryepiglottic attachment to the epiglottis.
  • Both patients had a history of multiple laryngeal instrumentation and prolonged intubation.
  • These defects were associated with significant swallowing difficulties, necessitating gastrostomy dependence.

Findings:

  • A previously unreported pattern of lateral congenital epiglottic defect was identified.
  • Existing literature details congenital epiglottic defects like aplasia and midline bifidity, but not lateral defects.
  • The observed lateral defects are proposed to be iatrogenic in etiology.

Implications:

  • Lateral epiglottic defects should be considered in the differential diagnosis for pediatric patients experiencing aspiration and feeding difficulties.
  • This study highlights a potential iatrogenic cause for specific epiglottic malformations.
  • Further research is warranted to fully understand the incidence and management of these rare defects.