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Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
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Published on: December 1, 2023

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Swallowing Outcomes Following Supraglottoplasty: A Retrospective Review

Mai Nguyen1, Laura Brooks2, Martha Wetzel3

  • 1Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.

The Laryngoscope
|July 6, 2021
PubMed

Insights

Short-term feeding difficulties after supraglottoplasty (SGP) are common in pediatric patients. However, long-term dysphagia is rare in children without syndromes or neurodevelopmental delay following SGP.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Swallowing Disorders

Background:

  • Supraglottoplasty (SGP) is a common procedure for pediatric airway issues.
  • Dysphagia can be a postoperative complication, impacting feeding and quality of life.
  • The incidence and predictors of dysphagia post-SGP require further investigation, especially concerning neurodevelopmental status.

Purpose of the Study:

  • To determine the incidence of short- and long-term dysphagia in pediatric patients following supraglottoplasty (SGP).
  • To compare dysphagia rates in patients with and without syndromes or neurodevelopmental delay.
  • To identify factors associated with postoperative feeding difficulties and time to dysphagia resolution.

Main Methods:

  • Retrospective cohort study of 231 pediatric patients undergoing SGP (2014-2019).
  • Review of patient demographics, surgical details, and swallowing assessments (preoperative and postoperative).
  • Logistic regression and time-to-event analysis were used to identify predictors of dysphagia and time to resolution.

Main Results:

  • Immediate postsurgical dysphagia occurred in 68.8% of assessed patients.
  • Persistent dysphagia at long-term follow-up was observed in 15.8% of assessed patients, predominantly those with syndromes/neurodevelopmental delay.
  • Underlying syndromes/neurodevelopmental delay was the sole predictor of long-term dysphagia (HR 0.21).

Conclusions:

  • Short-term feeding difficulties are frequent after pediatric supraglottoplasty.
  • Long-term dysphagia post-SGP is uncommon in children without syndromes or neurodevelopmental delay.
  • These findings aid in counseling caregivers regarding the risks and benefits of SGP.
Abstract

Keywords:
Supraglottoplastydysphagiaswallow outcomes

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