TY - JOUR
T1 - Laser-assisted management of congenital and acquired pediatric airway disorders
T2 - Case reports and review of the literature
AU - Ho, Ki Hong Kevin
AU - Ulualp, Seckin O.
PY - 2008/12/1
Y1 - 2008/12/1
N2 - Objectives: As laser surgery advances are made in the treatment of adult disorders, lasers are likewise increasingly being used in the treatment of pediatric otolaryngologic disorders. We evaluated outcomes of laser surgery in a group of infants and children with congenital and acquired airway disorders. Materials and Methods: The medical charts of infants and children who were treated for airway disorders between July 2005 and January 2007 at a tertiary care children's hospital were reviewed. Data included relevant history and physical examination, diagnostic work-up, management, and follow-up assessment. Results: Seven patients who had laser surgery for airway lesions were identified. Two infants aged 3-12 wk had laryngomalacia, failure to thrive, and apnea. In one infant, CO2 laser-assisted supraglottoplasty, in combination with microlaryngeal scissors, resulted in continuing weight gain in one infant at 15 mo after surgery, and no apnea episodes at 4 wk in the other infant. A 2-month-old infant underwent laser-assisted laryngeal cleft repair. Two patients diagnosed with recurrent respiratory papillomatosis at age 6-15 mo underwent multiple CO2 and KTP laser ablations of laryngotracheal papillomas. Microdebrider removal of papillomas was initiated due to the large size of the papillomas. Two patients aged 5-11 y were burn victims with stridor, hoarseness, or difficulty breathing. After CO2 ablation of subglottic stenosis and posterior glottic webs, voice and breathing improved and stridor resolved. Conclusion: Congenital and acquired airway lesions in 'infants and children can be treated with the laser. A combined approach with other techniques may be considered to decrease the duration of the procedure when applicable.
AB - Objectives: As laser surgery advances are made in the treatment of adult disorders, lasers are likewise increasingly being used in the treatment of pediatric otolaryngologic disorders. We evaluated outcomes of laser surgery in a group of infants and children with congenital and acquired airway disorders. Materials and Methods: The medical charts of infants and children who were treated for airway disorders between July 2005 and January 2007 at a tertiary care children's hospital were reviewed. Data included relevant history and physical examination, diagnostic work-up, management, and follow-up assessment. Results: Seven patients who had laser surgery for airway lesions were identified. Two infants aged 3-12 wk had laryngomalacia, failure to thrive, and apnea. In one infant, CO2 laser-assisted supraglottoplasty, in combination with microlaryngeal scissors, resulted in continuing weight gain in one infant at 15 mo after surgery, and no apnea episodes at 4 wk in the other infant. A 2-month-old infant underwent laser-assisted laryngeal cleft repair. Two patients diagnosed with recurrent respiratory papillomatosis at age 6-15 mo underwent multiple CO2 and KTP laser ablations of laryngotracheal papillomas. Microdebrider removal of papillomas was initiated due to the large size of the papillomas. Two patients aged 5-11 y were burn victims with stridor, hoarseness, or difficulty breathing. After CO2 ablation of subglottic stenosis and posterior glottic webs, voice and breathing improved and stridor resolved. Conclusion: Congenital and acquired airway lesions in 'infants and children can be treated with the laser. A combined approach with other techniques may be considered to decrease the duration of the procedure when applicable.
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U2 - 10.1089/pho.2007.2202
DO - 10.1089/pho.2007.2202
M3 - Article
C2 - 19025403
AN - SCOPUS:58149123464
SN - 1549-5418
VL - 26
SP - 601
EP - 607
JO - Photomedicine and Laser Surgery
JF - Photomedicine and Laser Surgery
IS - 6
ER -