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Coagulation of the lateral surface of aryepiglottic folds as an alternative to aryepiglottic fold release in management of type 2 laryngomalacia

Auris Nasus Larynx Nov 08, 2019

El-Kholy NA, et al. - In this retrospective study, researchers assessed the outcome of supraglottoplasty done by coagulation using coblation of the lateral surface of aryepiglottic folds as an alternative technique to aryepiglottic fold release in type 2 laryngomalacia management. This investigation was carried out at Mansoura University Hospitals, Egypt. Patients diagnosed with severe type 2 laryngomalacia were included from November 2017 to March 2018. Participants in the study were nine patients [mean age was 3.78 ± 1.20 months (range 2–6 months)]. The overall rate of success was 89%. Stridor was the most significantly improved symptom. Findings suggested that supraglottoplasty by coagulation of the lateral surface of aryepiglottic folds using coblation is an effective and safe procedure and in patients with type 2 laryngomalacia can improve airway symptoms and weight gain. No re-stenosis was observed on follow-up and tracheostomy was not necessary in any of the cases.
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