The incidence of postoperative aspiration among children undergoing supraglottoplasty for laryngomalacia

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 laryn...

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Bibliographic Details
Published in:Ear, nose, & throat journal nose, & throat journal, 2015-08, Vol.94 (8), p.320-328
Main Authors: Anderson de Moreno, Lauren C, Burgin, Sarah J, Matt, Bruce H
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Airway management
Care and treatment
Child
Child, Preschool
Complications and side effects
Distribution
Female
Gastrostomy
Glottis - surgery
Hemophilia
Hospitals
Humans
Incidence
Indiana - epidemiology
Infant
Infant, Newborn
Intubation, Gastrointestinal
Laryngeal diseases
Laryngomalacia - complications
Laryngomalacia - surgery
Larynx surgery
Male
Neuromuscular Diseases - complications
Ostomy
Pediatrics
Postoperative complications
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative period
Reoperation
Respiratory Aspiration - epidemiology
Respiratory Aspiration - etiology
Retrospective Studies
Risk factors
Sleep apnea
Sleep disorders
Studies
Young Adult
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Summary: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.
ISSN:0145-5613
1942-7522