1. Management of supraglottic dysgenesis presenting as laryngomalacia.
- Author
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Aynehchi BB, Goldstein NA, and Goldsmith AJ
- Subjects
- Airway Obstruction diagnosis, Airway Obstruction etiology, Airway Obstruction surgery, Diagnosis, Differential, Female, Follow-Up Studies, Humans, Infant, Laryngomalacia diagnosis, Laryngoscopy methods, Respiratory System Abnormalities surgery, Risk Assessment, Tracheostomy methods, Treatment Outcome, Epiglottis abnormalities, Laryngomalacia surgery, Laser Therapy methods, Respiratory System Abnormalities diagnosis
- Abstract
Laryngomalacia is a common source of stridor and can lead to significant upper airway obstruction and feeding disturbances in infants. We describe a unique case of supraglottic dysgenesis presenting as laryngomalacia featuring a prominent "s-shaped" epiglottis with both posterior edges fused to the right aryepiglottic fold/arytenoid complex. Although this anomaly is not accounted for in any of the current laryngomalacia classification schemes, modified laser supraglottoplasty was a satisfactory approach leading to successful decannulation. Laryngeal embryology and possible timing of the pathogenesis of this rare occurrence are reviewed as well., (Published by Elsevier Ireland Ltd.)
- Published
- 2011
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