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KMID : 0361020230660100697
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 10 p.697 ~ p.701
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Supraglottoplasty in Congenital Laryngomalacia Patient Without Tracheostomy
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Kim Dong-Jo
Lee Min-Hyung
Lee Jun-Young
Sung Eui-Suk
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Abstract
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Laryngomalacia is the most common congenital anomaly of the larynx in neonates. This su-praglottic obstruction leads to increased work of breathing and stridor. The most common as-sociated symptoms are swallowing dysfunction, regurgitation, cough, and sleep-disorderedbreathing. Spontaneous improvement usually occurs over a period of 12 months to 2 years al-though the majority of cases of laryngomalacia bnegins its course without any long-term se-quel. Despite its benign characteristics, 10% of cases require intervention. Nowadays, thetreatment consists of either wait-and-see or surgery. For severe laryngomalacia, supraglotto-plasty has become the mainstay of surgical management. In this study, we report 3 cases oflaryngomalacia in neonates, where patients underwent supraglottoplasty using the carbon di-oxide laser without tracheostomy under conventional ventilation.
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KEYWORD
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Congenital, CO2 laser, Laryngomalacia, Supraglottoplasty
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