Swallowing outcomes after pediatric epiglottopexy

Sohit Paul Kanotra; Victoria B Givens; Brent Keith

doi:10.1007/s00405-019-05664-6

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Swallowing outcomes after pediatric epiglottopexy

Journal article

Peer reviewed

Swallowing outcomes after pediatric epiglottopexy

Sohit Paul Kanotra, Victoria B Givens and Brent Keith

European archives of oto-rhino-laryngology, Vol.277(1), pp.285-291

01/2020

DOI: 10.1007/s00405-019-05664-6

PMID: 31552527

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Abstract

Persistent sleep apnea following tonsillectomy and adenoidectomy in children requires additional evaluation. One of the common areas of persistent upper airway obstruction in these children is the base of the tongue and lingual tonsils as well as epiglottic prolapse. Depending on the site of obstruction on sleep endoscopy or a cine MRI, surgical procedures include base of tongue reduction and lingual tonsillectomy with or without epiglottopexy. To assess the swallowing outcomes in children undergoing epiglottopexy with lingual tonsillectomy. A retrospective case series review of children undergoing epiglottopexy with or without lingual tonsillectomy. All patients underwent an epiglottopexy with lingual tonsillectomy using coblation. A detailed evaluation including a sleep study, sleep endoscopy, and thorough swallowing assessment preoperatively as well as postoperatively was performed. Five children underwent epiglottopexy with lingual tonsillectomy for obstructive sleep apnea. Epiglottopexy improved sleep apnea with Apnea Hypopnea Index (AHI) falling significantly from 4.6 to 0.5 (p < 0.05). All patients had a normal swallowing assessment postoperatively with functional endoscopic evaluation of swallowing (FEES) revealing no evidence of aspiration and penetration. In our case series epiglottopexy with lingual tonsillectomy is a safe and effective technique, which improves sleep apnea in pediatric patients. It does not affect the swallowing mechanism, and the epiglottis still retains the laryngeal protective role.

Adenoidectomy - adverse effects

Adenoidectomy - methods

Airway Obstruction - etiology

Airway Obstruction - surgery

Child

Child, Preschool

Deglutition - physiology

Endoscopy

Epiglottis - surgery

Female

Humans

Laryngoplasty - methods

Male

Palatine Tonsil - surgery

Polysomnography - methods

Reconstructive Surgical Procedures - methods

Retrospective Studies

Sleep Apnea, Obstructive - etiology

Sleep Apnea, Obstructive - surgery

Tongue - surgery

Tonsillectomy - adverse effects

Details

Title: Subtitle: Swallowing outcomes after pediatric epiglottopexy
Creators: Sohit Paul Kanotra - Louisiana State University
Victoria B Givens - Louisiana State University
Brent Keith - Children's Hospital of New Orleans
Resource Type: Journal article
Publication Details: European archives of oto-rhino-laryngology, Vol.277(1), pp.285-291
DOI: 10.1007/s00405-019-05664-6
PMID: 31552527
ISSN: 0937-4477
eISSN: 1434-4726
Language: English
Date published: 01/2020
Academic Unit: Stead Family Department of Pediatrics; Otolaryngology
Record Identifier: 9984312246202771

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