The effects of prematurity on incidence of aspiration following supraglottoplasty for laryngomalacia

Lauren C Anderson De Moreno, Bruce Matt

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives To determine if patients who were born premature have a higher incidence of aspiration following supraglottoplasty compared to patients born full term. Study Design Retrospective study. Methods Two thousand three hundred sixty (2360) patient charts from Riley Hospital for Children were reviewed retrospectively. Patients had already been treated for laryngomalacia with supraglottoplasty by Dr. Bruce Matt. Estimated weeks gestational age at birth was recorded for each patient. Prematurity was stratified as mild (32-36 weeks gestational age [WGA]), very (28-31 WGA), or extremely (<28 WGA). Patients were excluded from the study if they had suspected aspiration with chronic cough, pneumonia, chronic lung disease, or documented aspiration prior to supraglottoplasty. Results As previously shown, 75 patients (3.2%) had aspiration following supraglottoplasty. Twenty of these patients were preterm infants at birth. The rate for aspiration following supraglottoplasty for former premature infants was statistically significant (5.9%, odds ratio = 2.3, P =.0032). Conclusions Children who were born premature have a higher rate of postoperative aspiration following supraglottoplasty; however, supraglottoplasty should still be considered as treatment for laryngomalacia as the rate is still relatively low (5.9%). 21.

Original languageEnglish
Pages (from-to)777-780
Number of pages4
JournalLaryngoscope
Volume124
Issue number3
DOIs
StatePublished - Mar 2014

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Laryngomalacia
Incidence
Gestational Age
Premature Infants
Parturition
Cough
Lung Diseases
Pneumonia
Chronic Disease
Retrospective Studies
Odds Ratio

Keywords

  • laryngology
  • Level of Evidence: 2b
  • Pediatric Airway

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

The effects of prematurity on incidence of aspiration following supraglottoplasty for laryngomalacia. / De Moreno, Lauren C Anderson; Matt, Bruce.

In: Laryngoscope, Vol. 124, No. 3, 03.2014, p. 777-780.

Research output: Contribution to journalArticle

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