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Predictors of feeding management changes following supraglottoplasty in infants

Michael Hahn1, Courtney Hunter1, Alexa Pearce1

  • 1University of Arkansas for Medical Sciences College of Medicine, 4301 W. Markham St., Little Rock, AR, 72205, United States of America.

American Journal of Otolaryngology
|June 5, 2026
PubMed

Insights

Inpatient feeding plan modifications are common after supraglottoplasty in infants, especially those with neurodevelopmental conditions. A targeted approach to speech-language pathology (SLP) evaluations is recommended.

Area of Science:

  • Pediatric Otolaryngology
  • Swallowing Disorders
  • Infant Feeding Management

Background:

  • Supraglottoplasty is a surgical procedure to address upper airway obstruction in infants.
  • Postoperative swallowing difficulties can impact infant growth and development.
  • Understanding factors influencing feeding management is crucial for optimal outcomes.

Purpose of the Study:

  • To identify factors associated with changes in inpatient swallowing management after infant supraglottoplasty.
  • To evaluate postoperative swallowing trajectories using the International Dysphagia Diet Standardisation Initiative (IDDSI) framework.

Main Methods:

  • Retrospective cohort study at a single tertiary pediatric center.
  • Included infants (<12 months) who underwent supraglottoplasty (2017-2024).
  • Analyzed neuro/syndromic diagnosis, prematurity, airway findings, and perioperative factors impacting feeding/swallowing management and IDDSI levels.

Main Results:

  • Of 132 infants, 68 (52%) had inpatient speech-language pathology (SLP) evaluations, with 15 (22%) requiring feeding plan modifications.
  • Neuro/syndromic diagnosis significantly increased the odds of inpatient feeding modification (OR 5.94, p=0.039).
  • Most infants showed stable or improved IDDSI levels postoperatively.

Conclusions:

  • Inpatient SLP evaluations frequently lead to altered feeding management in high-risk infants post-supraglottoplasty.
  • Findings support a risk-stratified consultation strategy for SLP services rather than universal consultation.
  • This approach optimizes resource allocation and focuses on infants most likely to benefit from intervention.
Abstract

Keywords:
DysphagiaOutcomesPediatricsSpeech-language pathologySupraglottoplasty

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