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ISSN 2539-0859 (Electronic)
ISSN 0120-8411 (Print)
Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2020, Number 4

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Acta de Otorrinolaringología CCC 2020; 48 (4)

Indications and results of supraglottoplasty in pediatric patients at Fundación Hospital de la Misericordia in Bogotá, Colombia, a city at 2,600 meters above sea level, years 2017-2018

Thomas LS, Marrugo G

Language: Spanish
References: 17
Page: 291-295
PDF size: 153.38 Kb.


ABSTRACT

The most common cause of stridor in pediatric population is laryngomalacia. In papers published at sea level it has been describe an incidence of 70% in patients with stridor. We conducted a cross-sectional study of the cohort of patients that had undergo supraglotoplasty surgery in a fourth level pediatric hospital in a city located at an altitude of 2600 meter between 2017 - 2018. 44 patients were intervened, 4.5% of whom were diagnosed with type I laryngomalacia, 43% type II, 2.2% type III, 29.5% has more tan one type this according to Oley´s classification. The surgical indication was due to growing failure in 8 patient, inminent risk to respiratory failure in 17, high risk BRUE in 3 and severe sleep apnea in 20. Type I supraglotoplasty was performed in 5 patients , type II in 30 and in 9 type III. In 14 patients it was performed and additional procedure as dilatation of subglottic stenosis, amigdalectomy and tongue base resection. 95% of the patients had a comorbidity and 25% had a diagnosis of craniofacial anomalies. Conclusión: When analyzing the data obtained we found that patients operated at height for laryngomalacia, have a lower incidence of complete resolution of OSA, but show improvement of symptoms during sleep and minimal oxygen saturation, regardless of the residual hypopnea apnea index. The authors recommend pediatric otolaryngologists to take this difference into account when adressing a patient with laryngomalacia and other comorbidities.


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