Journal article
Transcervical Epiglottopexy for the Management of Type 3 Laryngomalacia
Ear, nose, & throat journal, Vol.101(8), pp.NP337-NP340
09/01/2022
DOI: 10.1177/0145561320971952
PMID: 33147060
Abstract
Type 3 laryngomalacia (LM) is characterized by prolapse of the epiglottis into the airway. Endolaryngeal suturing is technically challenging considering the limited exposure. In the present article, we describe a simple technique of transcervical epiglottopexy (TE) via an exo-endolaryngeal technique using an 18-G needle prethreaded with a 2-0 Prolene suture in a looped fashion inserted through the inferior epiglottis. Another 20-G needle with a 2-0 Prolene suture with one free end is inserted above the previous stitch through the superior epiglottis. The single stitch is passed through the looped stitch, which is then pulled through the neck, leaving a single stitch precisely placed through the epiglottis. We have used this technique safely while achieving epiglottopexy in 3 cases of epiglottic prolapse. We describe a method of TE using easily available instruments. This method we believe can easily be adapted for any kind of epiglottic prolapse.
Details
- Title: Subtitle
- Transcervical Epiglottopexy for the Management of Type 3 Laryngomalacia
- Creators
- Sohit Paul Kanotra - University of Iowa Children’s Hospital
- Resource Type
- Journal article
- Publication Details
- Ear, nose, & throat journal, Vol.101(8), pp.NP337-NP340
- DOI
- 10.1177/0145561320971952
- PMID
- 33147060
- NLM abbreviation
- Ear Nose Throat J
- ISSN
- 0145-5613
- eISSN
- 1942-7522
- Publisher
- Sage
- Number of pages
- 4
- Language
- English
- Date published
- 09/01/2022
- Academic Unit
- Stead Family Department of Pediatrics; Otolaryngology
- Record Identifier
- 9984311445002771
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