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Harmonic Shears in the Surgical Treatment of Laryngomalacia

Nora Mikiorova

Laryngomalacia is the most common congenital laryngeal anomaly. Sufferers gift with distinct degrees of stridor and feeding troubles that usually resolve by means of 18 months of age. A small wide variety gift with excessive feeding problems, failure to thrive, stridor with cyanosis, and apnea, which might also bring about cardiopulmonary disorder. Those toddlers require surgical intervention, typically a hyomandibulopexy or tracheotomy. We gift a new procedure, epiglottoplasty that is done endoscopically and includes excision of redundant mucosa over the lateral edges of the epiglottis, aryepiglottic folds, arytenoids, and corniculate cartilages. Ten sufferers have gone through this method with suitable outcomes. Epiglottoplasty represents an alternative to tracheotomy in excessive laryngomalacia. Indications, strategies, postoperative control, and complications are supplied.