Korean J Otorhinolaryngol-Head Neck Surg.  2016 Jan;59(1):64-67. 10.3342/kjorl-hns.2016.59.1.64.

A Case of Aryepiglottoplasty under Conventional Ventilation in Congenital Laryngomalacia Patient

Affiliations
  • 1Department of Otorhinolaryngology-Head & Neck Surgery, Dankook University College of Medicine, Cheonan, Korea. drmjh7979@naver.com
  • 2Kresge Hearing Research Institute, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, East Lansing, MI, USA.

Abstract

Laryngomalacia is reported as the most common cause of congenital laryngeal stridor. Despite its benign and self-limited aspects, 10% of all cases require intervention. However, endolaryngeal surgery in neonates makes great demands on the anesthesiologist and the surgeon because of the narrowness of the airways. This case report will present a surgical management of severe laryngomalacia in a newborn using the combination carbon dioxide laser and cold instrument to surgically divide the aryepiglottic fold under conventional ventilation.

Keyword

Aryepiglottic fold; Carbon dioxide laser; Endotracheal intubation; Laryngomalacia

MeSH Terms

Humans
Infant, Newborn
Intubation, Intratracheal
Laryngomalacia*
Lasers, Gas
Respiratory Sounds
Ventilation*
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