Practice patterns in supraglottoplasty and perioperative care

Abstract Objectives Supraglottoplasty is the first-line surgical treatment for severe laryngomalacia. The purpose of this study is to determine current trends of practice patterns in management of children requiring supraglottoplasty. Methods A 25-question survey on management in supraglottoplasty w...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2016-07, Vol.86, p.118-123
Main Authors: Ramprasad, Vaibhav H., BA, Ryan, Marisa A., MD, Farjat, Alfredo E., PhD, Eapen, Rose J., MD, Raynor, Eileen M., MD
Format: Article
Language:English
Subjects:
Canada
Child
Child, Preschool
Female
Humans
Infant
Laryngeal Cartilages - surgery
Laryngomalacia
Laryngomalacia - surgery
Male
Otolaryngologist
Otolaryngology
Patient Selection
Pediatric
Pediatrics
Perioperative Care
Practice Patterns, Physicians
Retrospective Studies
Supraglottoplasty
United Kingdom
United States
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Summary:Abstract Objectives Supraglottoplasty is the first-line surgical treatment for severe laryngomalacia. The purpose of this study is to determine current trends of practice patterns in management of children requiring supraglottoplasty. Methods A 25-question survey on management in supraglottoplasty was sent by e-mail to 274 physician members of the Society for Ear, Nose & Throat Advances in Children (SENTAC). Results 101 surgeons responded and 72% of respondents were in academic practice (p < 0.0001). All four United States regions, Canada and the United Kingdom were represented. The most commonly reported age of patients undergoing supraglottoplasty was 1-3 months (62% of respondents). Indications include worsening airway symptoms (43%), failure to thrive (41%) and worsening feeding (10%). The majority of respondents (89%) treat these patients for reflux with 54% prescribing PPIs and 41% prescribing H2 blockers. Cold steel is the most popular surgical technique (73%) followed by laser (14%), microdebrider (10%) and coblator (3%) (p
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2016.04.039