Journal article
Transcervical Epiglottopexy: A versatile technique for managing epiglottic prolapse
Otolaryngology-head and neck surgery, Vol.170(2), pp.380-390
02/2024
DOI: 10.1002/ohn.488
PMID: 37622519
Appears in UI Libraries Support Open Access
Abstract
Abstract Objective Epiglottic prolapse (EP) presents a unique management challenge. The objective of the present case series is to present clinical outcomes using a novel technique of transcervical epiglottopexy (TCE) in etiologically diverse cases of EP and to discuss the evolution of the surgical technique with technical modifications to optimize the surgical procedure. Study Design A retrospective case series review. Setting Tertiary care academic setting. Methods Pediatric cases with EP over a 3‐year period. Demographic data including age, sex, presenting symptoms, operative details, and polysomnographic indices were collected. Results A total of 18 patients with a mean age of 48.88 ± 37.3 months underwent TCE. Sixty‐seven percent of patients had high‐grade EP (grades 3 and 4). A previous endolaryngeal epiglottopexy had been performed in 5 (28%) patients. Fourteen (78%) patients had a concurrent airway procedure performed including 4 undergoing single‐stage laryngotracheal reconstruction. The mean suspension time only for the TCE part ranged from 8 to 17 minutes with a mean of 11.23 ± 3.4 minutes. A stable EP defined as a healed glossoepiglottic adhesion was achieved in all but 1 case with an overall success rate of 95%. All cases with previous failed endoscopic epiglottopexy had a stable epiglottopexy. No immediate complications were noticed. Among the late complications, the most common was the formation of granulation tissue at the site of silastic disc placement which was seen in 3 patients. Conclusion TCE using an exo‐endolaryngeal technique can achieve stable epiglottopexy in children with EP and can be adapted for any kind of EP.
Details
- Title: Subtitle
- Transcervical Epiglottopexy: A versatile technique for managing epiglottic prolapse
- Creators
- Sohit Paul Kanotra - University of Iowa, Stead Family Department of PediatricsDayton Rand - University of Iowa, Orthopedics and RehabilitationCatalina Mulanax - Department of Otolaryngology–Head and Neck Surgery University of Iowa Hospitals & Clinics Iowa City Iowa USA
- Resource Type
- Journal article
- Publication Details
- Otolaryngology-head and neck surgery, Vol.170(2), pp.380-390
- DOI
- 10.1002/ohn.488
- PMID
- 37622519
- NLM abbreviation
- Otolaryngol Head Neck Surg
- ISSN
- 0194-5998
- eISSN
- 1097-6817
- Publisher
- Wiley
- Language
- English
- Electronic publication date
- 08/25/2023
- Date published
- 02/2024
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984458759002771
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