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Hamdy Elhakim - One of the best experts on this subject based on the ideXlab platform.
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secondary airway lesions in Laryngomalacia a different perspective
Otolaryngology-Head and Neck Surgery, 2011Co-Authors: Hamdy Elhakim, Hani Rifai, Marc BenoitAbstract:Objective. To document the prevalence of secondary airway lesions (SALs) among children with Laryngomalacia (LM).Study Design. A cross-sectional observational study.Setting. Single practice in a te...
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prevalence of Laryngomalacia in children presenting with sleep disordered breathing
Laryngoscope, 2010Co-Authors: Mahilravi Thevasagayam, Kirsty Rodger, Dominic Cave, Manisha Witmans, Hamdy ElhakimAbstract:Objective: To determine the prevalence of Laryngomalacia among children presenting with symptoms of sleep-disordered breathing (SDB). Method: A retrospective observational study was conducted at a tertiary care paediatric hospital. All children presenting with SDB during a 55-month period were investigated using sleep nasopharyngoscopy (SNP). Patients who had Laryngomalacia were identified. Patients who did not present primarily with SDB, or were not examined with SNP were excluded. Data for analysis was collected from a prospectively kept surgical database and medical records. This included patients' demographics, symptoms (including symptoms in infancy), diagnoses, SNP findings, overnight pulse oximetry findings, and treatment. Results: We identified 358 patients with documented primary diagnosis of SDB and who had undergone SNP. Fourteen of these also had a documented diagnosis of Laryngomalacia, giving a prevalence rate of 3.9%. Three children were syndromic, and one had cerebral palsy in addition to SDB and Laryngomalacia. Three children were obese, and three children had gastroesophageal reflux disease. Seven cases (50%) had symptoms of snoring and/or swallowing dysfunction and/or stridor in infancy. Twelve patients had adenotonsillar surgery. In eight cases symptoms resolved completely with adenotonsillar surgery only. In total, six patients had a supraglottoplasty. There were three failures to supraglottoplasty. Conclusion: The prevalence of Laryngomalacia within children presenting with SDB is 3.9%. Our findings support full evaluation of the airway to identify the site of pathology mediating SDB symptoms. Laryngoscope, 2010
Rovo Laszlo - One of the best experts on this subject based on the ideXlab platform.
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Changes in the Quality of Life of Our Neonatal Patients Born with Severe Laryngomalacia and Treated with Endoscopic UDP Laser Supraglottoplasty
Journal of Otorhinolaryngology and Facial Plastic Surgery, 2020Co-Authors: Alim Marvasti, Gholam Hossein, Sztano Balazs, Bach Adam, Tobias Zoltan, Rovo LaszloAbstract:Background: Laryngomalacia is one of the most common causes of neonatal dyspnea and inspiratory stridor. In 20% of the cases Laryngomalacia in newborns may lead to respiratory failure, feeding difficulties and failure to thrive. The aim of this study was to assess the changes in the quality of life of the patients with Laryngomalacia in the first year following ultra-dream pulse laser supraglottoplasty.Case presentation: the assessment relevant parameters of 6 newborn patients with Laryngomalacia (4:2 male:female, average age at the time of operation 12,5 days) who underwent ultra-pulse laser supraglottoplasty.Conclusion: Ultra-dream pulse laser supraglottoplasty for Laryngomalacia is a safe and effective surgical modality, even if it is performed in the neonatal age
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A Laryngomalacia endoszkópos ultrapulzációs-lézeres (ultra dream pulse) sebészete. A módszer hazai bevezetése során szerzett tapasztalataink = Endoscopic ultra dream pulse laser surgery of Laryngomalacia. Our experiences gained during the introduction of the method in Hungary
'Akademiai Kiado Zrt.', 2017Co-Authors: Tobias Zoltan, Sztano Balazs, Pálinkó Dóra, Csanády Miklós, Gál Péter, Rovo LaszloAbstract:INTRODUCTION: Congenital stridor and dyspnoe are caused by Laryngomalacia in most cases. AIM: In this article we present a new, surgical method for treating severe Laryngomalacia in patients under the age of 1, where ultrapulsated (UDP) laser beam is used for supraglottoplasty. Ultra dream pulse laser creates lesser thermical side damage in the tissue, therefore the risk of postoperative laryngeal oedema and scarring is lower. METHOD: We present 10 cases and the endoscopic UDP-laser surgery of patients under the age of 1 with severe Laryngomalacia. RESULTS: After the surgery the stridorous symptoms disappeared, and there was no evidence of postoperative laryngeal oedema, there was no need for reoperation or tracheotomy in any of the cases. CONCLUSION: UDP-laser surgery of Laryngomalacia is proven to be a safe and effective surgial modality. During the follow up visits we experienced neither recurrence of stridor nor laryngeal scarring. Orv Hetil. 2017; 158(33): 1288-1292
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A Laryngomalacia endoszkópos ultrapulzációs-lézeres (ultra dream pulse) sebészete. A módszer hazai bevezetése során szerzett tapasztalataink | Endoscopic ultra dream pulse laser surgery of Laryngomalacia. Our experiences gained during the introduction of the method in Hungary
'Akademiai Kiado Zrt.', 2017Co-Authors: Tobias Zoltan, Sztano Balazs, Pálinkó Dóra, Csanády Miklós, Gál Péter, Rovo LaszloAbstract:Absztrakt: Bevezetés: A veleszületett csecsemőkori dyspnoe és inspiratorikus stridor leggyakoribb oka a Laryngomalacia. Célkitűzés: Jelen összeállításban a szerzők egy új, minimálisan invazív, ultrapulzációs (ultra dream pulse) lézeres gégesebészeti módszert mutatnak be, amely jóval kisebb karbonizációs zónát hoz létre, mint a korábbi CO2-lézeres beavatkozások, így kisebb az esély a posztoperatív gégeödéma és hegesedés kialakulására. Módszer: A szerzők 2012 és 2015 között 10, egy évnél fiatalabb, súlyos fokú stridort okozó laryngomalaciás betegen végeztek endoszkópos ultrapulzációs-lézeres supraglottoplasticát. Eredmények: A beavatkozás után a stridoros panaszok javultak, a korai posztoperatív időszakban ödéma egy esetben sem jelentkezett, a későbbiek során hegesedés sem alakult ki, tracheotomiát nem kellett végezni, reoperációra nem került sor. Következtetés: A késői utánkövetéses vizsgálatok során visszaesést egy alkalommal sem tapasztaltunk. Orv Hetil. 2017; 158(33): 1288–1292. | Abstract: Introduction: Congenital stridor and dyspnoe are caused by Laryngomalacia in most cases. Aim: In this article we present a new, surgical method for treating severe Laryngomalacia in patients under the age of 1, where ultrapulsated (UDP) laser beam is used for supraglottoplasty. Ultra dream pulse laser creates lesser thermical side damage in the tissue, therefore the risk of postoperative laryngeal oedema and scarring is lower. Method: We present 10 cases and the endoscopic UDP-laser surgery of patients under the age of 1 with severe Laryngomalacia. Results: After the surgery the stridorous symptoms disappeared, and there was no evidence of postoperative laryngeal oedema, there was no need for reoperation or tracheotomy in any of the cases. Conclusion: UDP-laser surgery of Laryngomalacia is proven to be a safe and effective surgial modality. During the follow up visits we experienced neither recurrence of stridor nor laryngeal scarring. Orv Hetil. 2017; 158(33): 1288–1292
Tobias Zoltan - One of the best experts on this subject based on the ideXlab platform.
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Changes in the Quality of Life of Our Neonatal Patients Born with Severe Laryngomalacia and Treated with Endoscopic UDP Laser Supraglottoplasty
Journal of Otorhinolaryngology and Facial Plastic Surgery, 2020Co-Authors: Alim Marvasti, Gholam Hossein, Sztano Balazs, Bach Adam, Tobias Zoltan, Rovo LaszloAbstract:Background: Laryngomalacia is one of the most common causes of neonatal dyspnea and inspiratory stridor. In 20% of the cases Laryngomalacia in newborns may lead to respiratory failure, feeding difficulties and failure to thrive. The aim of this study was to assess the changes in the quality of life of the patients with Laryngomalacia in the first year following ultra-dream pulse laser supraglottoplasty.Case presentation: the assessment relevant parameters of 6 newborn patients with Laryngomalacia (4:2 male:female, average age at the time of operation 12,5 days) who underwent ultra-pulse laser supraglottoplasty.Conclusion: Ultra-dream pulse laser supraglottoplasty for Laryngomalacia is a safe and effective surgical modality, even if it is performed in the neonatal age
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A Laryngomalacia endoszkópos ultrapulzációs-lézeres (ultra dream pulse) sebészete. A módszer hazai bevezetése során szerzett tapasztalataink = Endoscopic ultra dream pulse laser surgery of Laryngomalacia. Our experiences gained during the introduction of the method in Hungary
'Akademiai Kiado Zrt.', 2017Co-Authors: Tobias Zoltan, Sztano Balazs, Pálinkó Dóra, Csanády Miklós, Gál Péter, Rovo LaszloAbstract:INTRODUCTION: Congenital stridor and dyspnoe are caused by Laryngomalacia in most cases. AIM: In this article we present a new, surgical method for treating severe Laryngomalacia in patients under the age of 1, where ultrapulsated (UDP) laser beam is used for supraglottoplasty. Ultra dream pulse laser creates lesser thermical side damage in the tissue, therefore the risk of postoperative laryngeal oedema and scarring is lower. METHOD: We present 10 cases and the endoscopic UDP-laser surgery of patients under the age of 1 with severe Laryngomalacia. RESULTS: After the surgery the stridorous symptoms disappeared, and there was no evidence of postoperative laryngeal oedema, there was no need for reoperation or tracheotomy in any of the cases. CONCLUSION: UDP-laser surgery of Laryngomalacia is proven to be a safe and effective surgial modality. During the follow up visits we experienced neither recurrence of stridor nor laryngeal scarring. Orv Hetil. 2017; 158(33): 1288-1292
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A Laryngomalacia endoszkópos ultrapulzációs-lézeres (ultra dream pulse) sebészete. A módszer hazai bevezetése során szerzett tapasztalataink | Endoscopic ultra dream pulse laser surgery of Laryngomalacia. Our experiences gained during the introduction of the method in Hungary
'Akademiai Kiado Zrt.', 2017Co-Authors: Tobias Zoltan, Sztano Balazs, Pálinkó Dóra, Csanády Miklós, Gál Péter, Rovo LaszloAbstract:Absztrakt: Bevezetés: A veleszületett csecsemőkori dyspnoe és inspiratorikus stridor leggyakoribb oka a Laryngomalacia. Célkitűzés: Jelen összeállításban a szerzők egy új, minimálisan invazív, ultrapulzációs (ultra dream pulse) lézeres gégesebészeti módszert mutatnak be, amely jóval kisebb karbonizációs zónát hoz létre, mint a korábbi CO2-lézeres beavatkozások, így kisebb az esély a posztoperatív gégeödéma és hegesedés kialakulására. Módszer: A szerzők 2012 és 2015 között 10, egy évnél fiatalabb, súlyos fokú stridort okozó laryngomalaciás betegen végeztek endoszkópos ultrapulzációs-lézeres supraglottoplasticát. Eredmények: A beavatkozás után a stridoros panaszok javultak, a korai posztoperatív időszakban ödéma egy esetben sem jelentkezett, a későbbiek során hegesedés sem alakult ki, tracheotomiát nem kellett végezni, reoperációra nem került sor. Következtetés: A késői utánkövetéses vizsgálatok során visszaesést egy alkalommal sem tapasztaltunk. Orv Hetil. 2017; 158(33): 1288–1292. | Abstract: Introduction: Congenital stridor and dyspnoe are caused by Laryngomalacia in most cases. Aim: In this article we present a new, surgical method for treating severe Laryngomalacia in patients under the age of 1, where ultrapulsated (UDP) laser beam is used for supraglottoplasty. Ultra dream pulse laser creates lesser thermical side damage in the tissue, therefore the risk of postoperative laryngeal oedema and scarring is lower. Method: We present 10 cases and the endoscopic UDP-laser surgery of patients under the age of 1 with severe Laryngomalacia. Results: After the surgery the stridorous symptoms disappeared, and there was no evidence of postoperative laryngeal oedema, there was no need for reoperation or tracheotomy in any of the cases. Conclusion: UDP-laser surgery of Laryngomalacia is proven to be a safe and effective surgial modality. During the follow up visits we experienced neither recurrence of stridor nor laryngeal scarring. Orv Hetil. 2017; 158(33): 1288–1292
Sztano Balazs - One of the best experts on this subject based on the ideXlab platform.
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Changes in the Quality of Life of Our Neonatal Patients Born with Severe Laryngomalacia and Treated with Endoscopic UDP Laser Supraglottoplasty
Journal of Otorhinolaryngology and Facial Plastic Surgery, 2020Co-Authors: Alim Marvasti, Gholam Hossein, Sztano Balazs, Bach Adam, Tobias Zoltan, Rovo LaszloAbstract:Background: Laryngomalacia is one of the most common causes of neonatal dyspnea and inspiratory stridor. In 20% of the cases Laryngomalacia in newborns may lead to respiratory failure, feeding difficulties and failure to thrive. The aim of this study was to assess the changes in the quality of life of the patients with Laryngomalacia in the first year following ultra-dream pulse laser supraglottoplasty.Case presentation: the assessment relevant parameters of 6 newborn patients with Laryngomalacia (4:2 male:female, average age at the time of operation 12,5 days) who underwent ultra-pulse laser supraglottoplasty.Conclusion: Ultra-dream pulse laser supraglottoplasty for Laryngomalacia is a safe and effective surgical modality, even if it is performed in the neonatal age
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A Laryngomalacia endoszkópos ultrapulzációs-lézeres (ultra dream pulse) sebészete. A módszer hazai bevezetése során szerzett tapasztalataink = Endoscopic ultra dream pulse laser surgery of Laryngomalacia. Our experiences gained during the introduction of the method in Hungary
'Akademiai Kiado Zrt.', 2017Co-Authors: Tobias Zoltan, Sztano Balazs, Pálinkó Dóra, Csanády Miklós, Gál Péter, Rovo LaszloAbstract:INTRODUCTION: Congenital stridor and dyspnoe are caused by Laryngomalacia in most cases. AIM: In this article we present a new, surgical method for treating severe Laryngomalacia in patients under the age of 1, where ultrapulsated (UDP) laser beam is used for supraglottoplasty. Ultra dream pulse laser creates lesser thermical side damage in the tissue, therefore the risk of postoperative laryngeal oedema and scarring is lower. METHOD: We present 10 cases and the endoscopic UDP-laser surgery of patients under the age of 1 with severe Laryngomalacia. RESULTS: After the surgery the stridorous symptoms disappeared, and there was no evidence of postoperative laryngeal oedema, there was no need for reoperation or tracheotomy in any of the cases. CONCLUSION: UDP-laser surgery of Laryngomalacia is proven to be a safe and effective surgial modality. During the follow up visits we experienced neither recurrence of stridor nor laryngeal scarring. Orv Hetil. 2017; 158(33): 1288-1292
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A Laryngomalacia endoszkópos ultrapulzációs-lézeres (ultra dream pulse) sebészete. A módszer hazai bevezetése során szerzett tapasztalataink | Endoscopic ultra dream pulse laser surgery of Laryngomalacia. Our experiences gained during the introduction of the method in Hungary
'Akademiai Kiado Zrt.', 2017Co-Authors: Tobias Zoltan, Sztano Balazs, Pálinkó Dóra, Csanády Miklós, Gál Péter, Rovo LaszloAbstract:Absztrakt: Bevezetés: A veleszületett csecsemőkori dyspnoe és inspiratorikus stridor leggyakoribb oka a Laryngomalacia. Célkitűzés: Jelen összeállításban a szerzők egy új, minimálisan invazív, ultrapulzációs (ultra dream pulse) lézeres gégesebészeti módszert mutatnak be, amely jóval kisebb karbonizációs zónát hoz létre, mint a korábbi CO2-lézeres beavatkozások, így kisebb az esély a posztoperatív gégeödéma és hegesedés kialakulására. Módszer: A szerzők 2012 és 2015 között 10, egy évnél fiatalabb, súlyos fokú stridort okozó laryngomalaciás betegen végeztek endoszkópos ultrapulzációs-lézeres supraglottoplasticát. Eredmények: A beavatkozás után a stridoros panaszok javultak, a korai posztoperatív időszakban ödéma egy esetben sem jelentkezett, a későbbiek során hegesedés sem alakult ki, tracheotomiát nem kellett végezni, reoperációra nem került sor. Következtetés: A késői utánkövetéses vizsgálatok során visszaesést egy alkalommal sem tapasztaltunk. Orv Hetil. 2017; 158(33): 1288–1292. | Abstract: Introduction: Congenital stridor and dyspnoe are caused by Laryngomalacia in most cases. Aim: In this article we present a new, surgical method for treating severe Laryngomalacia in patients under the age of 1, where ultrapulsated (UDP) laser beam is used for supraglottoplasty. Ultra dream pulse laser creates lesser thermical side damage in the tissue, therefore the risk of postoperative laryngeal oedema and scarring is lower. Method: We present 10 cases and the endoscopic UDP-laser surgery of patients under the age of 1 with severe Laryngomalacia. Results: After the surgery the stridorous symptoms disappeared, and there was no evidence of postoperative laryngeal oedema, there was no need for reoperation or tracheotomy in any of the cases. Conclusion: UDP-laser surgery of Laryngomalacia is proven to be a safe and effective surgial modality. During the follow up visits we experienced neither recurrence of stridor nor laryngeal scarring. Orv Hetil. 2017; 158(33): 1288–1292
George H Zalzal - One of the best experts on this subject based on the ideXlab platform.
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microdebrider assisted supraglottoplasty for Laryngomalacia
Annals of Otology Rhinology and Laryngology, 2009Co-Authors: Rahul K Shah, Jan C Groblewski, George H ZalzalAbstract:ObjectivesWe describe our series in the surgical treatment of Laryngomalacia using a microdebrider.MethodsWe performed a retrospective review of patients who underwent microdebrider-assisted suprag...
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microdebrider assisted supraglottoplasty for Laryngomalacia
Otolaryngology-Head and Neck Surgery, 2008Co-Authors: Rahul K Shah, Jan C Groblewski, George H ZalzalAbstract:ObjectiveTo describe our series in the surgical treatment of Laryngomalacia using a microdebrider.MethodsA retrospective review of patients undergoing supraglottoplasty for Laryngomalacia at a tertiary children's hospital between October 2004 and February 2008 was performed. Patients with complex co-morbidities and those undergoing alternative methods for supraglottoplasty were excluded. Patient charts and operative reports were reviewed to assess demographic characteristics, co-morbidities, procedural times, hospitalizations, intra-operative and post-operative complications, and post-operative outcome. Main outcome measures included complications, pain, resolution of stridor, presence of aspiration, and need for revision surgery.Results27 patients underwent microdebrider-assisted supraglottoplasty. Mean age at diagnosis was 109 days; mean age at time of the procedure was 187 days. 18 Eighteen patients (67%) had gastro-esophageal reflux at the time the Laryngomalacia was diagnosed. Average operative time ...
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Laryngomalacia the search for the second lesion
Archives of Otolaryngology-head & Neck Surgery, 1996Co-Authors: Robert F Mancuso, Sukgi S. Choi, George H Zalzal, Kenneth M GrundfastAbstract:Objectives: To determine the necessity of rigid endoscopy in the diagnosis and management of Laryngomalacia and its associated synchronous airway lesions (SALs), to analyze the incidence of SALs associated with Laryngomalacia and their significance, and to determine the need for epiglottoplasty in management of Laryngomalacia. Design: Retrospective medical chart review. Setting: Tertiary care children's hospital. Patients: Two hundred thirty-three patients with a primary diagnosis of Laryngomalacia on flexible fiberoptic laryngoscopy treated at the Children's National Medical Center, Washington, DC, from January 1, 1984, to June 30, 1994. Interventions: Evaluation and treatment of Laryngomalacia and associated SAL by flexible fiberoptic laryngoscopy, radiographic studies, rigid endoscopy, and other surgical procedures. Main Outcome Measures: Resolution of airway symptoms from Laryngomalacia and associated SAL. Results: Ninety patients (38.6%) underwent rigid endoscopy, and 12 patients (5.2%) required epiglottoplasty. Synchronous airway lesions were discovered in 44 patients (18.9%). Eleven patients (4.7%) had SALs that were considered clinically significant; nine (3.9%) of these required surgical intervention. Conclusions: Rigid endoscopy in evaluation of an infant with Laryngomalacia is rarely necessary. Clinically significant SALs requiring surgical intervention are uncommon. Surgical intervention for Laryngomalacia also is rarely necessary. (Arch Otolaryngol Head Neck Surg. 1996;122:302-306)
