The role of CO2 laser surgery in the management of severe laryngomalacia: efficacy, safety, and future directions
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Laryngomalacia is the most common cause of stridor in infants and often resolves spontaneously by 18-24 months of age. However, severe cases necessitate medical intervention due to significant respiratory distress and feeding difficulties. Laser surgery, using carbon dioxide (CO2) lasers, has emerged as a pivotal therapeutic approach for severe laryngomalacia. This review examines the efficacy, safety, and long-term outcomes of CO2 laser surgery for laryngomalacia. CO2 lasers offer precise tissue vaporization, minimizing collateral damage and enhancing recovery. Numerous studies have reported high success rates, with significant symptomatic improvement and a reduction in the need for more invasive procedures like tracheostomy. Complications such as intraoperative bleeding and postoperative edema may occur. However, they are generally manageable. Long-term outcomes indicate normal growth and development with minimal impact on voice quality and swallowing function. Advancements in laser technology and ongoing research are expected to further improve the efficacy and safety of laser surgery for laryngomalacia.
Abstract
Laryngomalacia is the most common cause of stridor in infants and often resolves spontaneously by 18-24 months of age. However, severe cases necessitate medical intervention due to significant respiratory distress and feeding difficulties. Laser surgery, using carbon dioxide (CO2) lasers, has emerged as a pivotal therapeutic approach for severe laryngomalacia. This review examines the efficacy, safety, and long-term outcomes of CO2 laser surgery for laryngomalacia. CO2 lasers offer precise tissue vaporization, minimizing collateral damage and enhancing recovery. Numerous studies have reported high success rates, with significant symptomatic improvement and a reduction in the need for more invasive procedures like tracheostomy. Complications such as intraoperative bleeding and postoperative edema may occur. However, they are generally manageable. Long-term outcomes indicate normal growth and development with minimal impact on voice quality and swallowing function. Advancements in laser technology and ongoing research are expected to further improve the efficacy and safety of laser surgery for laryngomalacia.
참고문헌 (11)
- Solomons NB, "Laryngomalacia. A review and the surgical management for severe cases", Int J Pediatr Otorhinolaryngol, 13, pp.31~39 (1987)
- Lane RW, "Laryngomalacia. A review and case report of surgical treatment with resolution of pectus excavatum", Arch Otolaryngol, 110, pp.546~551 (1984)
- Toynton SC, "Aryepiglottoplasty for laryngomalacia : 100 consecutive cases", J Laryngol Otol, 115, pp.35~38 (2001)
- Seid AB, "Laser division of the aryepiglottic folds for severe laryngomalacia", Int J Pediatr Otorhinolaryngol, 10, pp.153~158 (1985)
- Katin LI, "Laser supraarytenoidectomy for laryngomalacia with apnea", Trans Pa Acad Ophthalmol Otolaryngol, 42, pp.985~988 (1990)
- McClurg FL, "Laser laryngoplasty for laryngomalacia", Laryngoscope, 104(3 Pt 1), pp.247~252 (1994)
- Remacle M, "Use of the CO2-laser micropoint micromanipulator for the treatment of laryngomalacia", Eur Arch Otorhinolaryngol, 253, pp.401~404 (1996)
- Richter GT, "Impact of supraglottoplasty on aspiration in severe laryngomalacia", Ann Otol Rhinol Laryngol, 118, pp.259~266 (2009)
- Senders CW, "Laser supraglottoplasty for laryngomalacia : are specific anatomical defects more influential than associated anomalies on outcome?", Int J Pediatr Otorhinolaryngol, 57, pp.235~244 (2001)
- Olney DR, "Laryngomalacia and its treatment", Laryngoscope, 109, pp.1770~1775 (1999)
- Thompson DM, "Laryngomalacia : factors that influence disease severity and outcomes of management", Curr Opin Otolaryngol Head Neck Surg, 18, pp.564~570 (2010)