دورية أكاديمية
أعرض في EDS

Indication and efficacy of injection laryngoplasty for laryngeal clefts - A retrospective cohort study.

التفاصيل البيبلوغرافية
العنوان: Indication and efficacy of injection laryngoplasty for laryngeal clefts - A retrospective cohort study.
المؤلفون: van Stigt MJB; Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands; Brain center, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands; Department of Pediatric Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands. Electronic address: m.j.b.vanstigt-3@umcutrecht.nl., Coenraad S; Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands., Stegeman I; Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands; Brain center, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands., Stokroos RJ; Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands; Brain center, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands., Tytgat SHAJ; Department of Pediatric Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands., Lindeboom MYA; Department of Pediatric Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands., Bittermann AJN; Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands. Electronic address: a.j.n.Bittermann@umcutrecht.nl.
المصدر: American journal of otolaryngology [Am J Otolaryngol] 2024 Jul 22; Vol. 45 (6), pp. 104425. Date of Electronic Publication: 2024 Jul 22.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Saunders Country of Publication: United States NLM ID: 8000029 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-818X (Electronic) Linking ISSN: 01960709 NLM ISO Abbreviation: Am J Otolaryngol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Cherry Hill, N. J., Saunders.
مستخلص: Purpose: Laryngeal cleft (LC) is an anatomical defect of the larynx, where there is a gap (or cleft) between the arytenoids. Milder types can be treated with injection laryngoplasty (IL), involving injection with a filler, resulting in a decreased depth of the cleft and thereby reducing tracheal penetration or aspiration. The effect, however, is temporary. The aim of this study was to investigate the possible indications and the efficacy of IL for LC.
Methods: Patients who underwent IL for LC between March 2018 and June 2023 were retrospectively evaluated. The following parameters were studied: incidence of LC symptoms and objective swallowing evaluations before and after IL, the duration of possible symptom improvement, complications, and the number of subsequent suture repairs.
Results: Eighty-five patients were included. Before IL, 81 (96 %) patients had symptoms of aspiration during feeding, compared to 41 (54 %) patients after IL (p ≤ 0.001). In 42 (49 %) patients, temporary symptom relief occurred, in 22 (26 %) patients symptoms persisted, in 16 (19 %) patients symptoms decreased permanently. Mild complications such as cough and desaturations in the direct postoperative period occurred.
Conclusion: This study shows a statistically significant decrease in the number of parents/caretakers reporting swallowing symptoms after injection laryngoplasty, and a decrease in the average percentage of parents/caretakers reporting various other symptoms. Based on our results, injection laryngoplasty can be recommended as a diagnostic tool in the treatment of laryngeal cleft. Furthermore, it can be used as bridge therapy (i.e. until patients outgrow their symptoms, or until suture repair).
Competing Interests: Declaration of competing interest None.
(Copyright © 2024. Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Aspiration; Injection laryngoplasty; Laryngeal cleft; Minimal invasive treatment; Swallowing difficulties
تواريخ الأحداث: Date Created: 20240803 Latest Revision: 20240803
رمز التحديث: 20240804
DOI: 10.1016/j.amjoto.2024.104425
PMID: 39096570
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-818X
DOI:10.1016/j.amjoto.2024.104425