The incidence of postoperative aspiration among children undergoing supraglottoplasty for laryngomalacia

Lauren C.Anderson de Moreno, Sarah J. Burgin, Bruce Matt

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We conducted a retrospective study to determine the incidence of aspiration after supraglottoplasty at Riley Hospital for Children in Indianapolis. We reviewed the charts of 468 patients-281 males and 187 females, aged 2 days to 20 years-who had undergone supraglottoplasty for the treatment of laryngomalacia; most patients (69.9%) were aged 28 days to 2 years. A total of 47 patients (10.0%) experienced aspiration after supraglottoplasty; the overall association between supraglottoplasty and aspiration was not statistically significant (p = 0.25). Aspiration was positively correlated with age younger than 18 months, the performance of a revision procedure, the presence of an underlying neuromuscular disorder (n = 20), and the need for a postoperative gastrostomy tube (p < 0.001 for all). When the 20 patients with a neuromuscular disorder were excluded from our data analysis, the incidence of aspiration after supraglottoplasty fell to only 5.8% (27/468). We conclude that supraglottoplasty is a safe and effective procedure for the treatment of laryngomalacia. It does not significantly increase the overall incidence of aspiration in children, and thus the risk of aspiration should not be considered a deterrent to surgery, even in children with neuromuscular problems.

Original languageEnglish (US)
Pages (from-to)320-328
Number of pages9
JournalEar, Nose and Throat Journal
Volume94
Issue number8
StatePublished - Aug 1 2015

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Laryngomalacia
Incidence
Gastrostomy
Retrospective Studies
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology

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The incidence of postoperative aspiration among children undergoing supraglottoplasty for laryngomalacia. / de Moreno, Lauren C.Anderson; Burgin, Sarah J.; Matt, Bruce.

In: Ear, Nose and Throat Journal, Vol. 94, No. 8, 01.08.2015, p. 320-328.

Research output: Contribution to journalArticle

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