The effects of prematurity on incidence of aspiration following supraglottoplasty for laryngomalacia. (16th December 2013)

• Record Type: Journal Article
• Authors: Anderson de Moreno, Lauren C.; Matt, Bruce H.
• Is Part Of: Laryngoscope. Volume 124:Number 3(2014:Mar.)
• Page Start: 777
• Page End: 780
• Publication Date: 2013-12-16
• Subjects: Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.21855
• Languages: English
• ISSNs: 0023-852X

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="lary21855-sec-0001" sec-type="section"> <title>Objectives</title> <p>To determine if patients who were born premature have a higher incidence of aspiration following supraglottoplasty compared to patients born full term.</p> </sec> <sec id="lary21855-sec-0002" sec-type="section"> <title>Study Design</title> <p>Retrospective study.</p> </sec> <sec id="lary21855-sec-0003" sec-type="section"> <title>Methods</title> <p>Two thousand three hundred sixty (2360) patient charts from Riley Hospital for Children were reviewed retrospectively. Patients had already been treated for laryngomalacia with supraglottoplasty by Dr. Bruce Matt. Estimated weeks gestational age at birth was recorded for each patient. Prematurity was stratified as mild (32–36 weeks gestational age [WGA]), very (28–31 WGA), or extremely (<28 WGA). Patients were excluded from the study if they had suspected aspiration with chronic cough, pneumonia, chronic lung disease, or documented aspiration prior to supraglottoplasty.</p> </sec> <sec id="lary21855-sec-0004" sec-type="section"> <title>Results</title> <p>As previously shown, 75 patients (3.2%) had aspiration following supraglottoplasty. Twenty of these patients were preterm infants at birth. The rate for aspiration following supraglottoplasty for former premature infants was statistically significant (5.9%, odds ratio = 2.3, <italic>P</italic> = .0032).</p> </sec> <sec id="lary21855-sec-0005" sec-type="section"> <title>Conclusions</title> <p>Children who were born premature have a higher rate of postoperative aspiration following supraglottoplasty; however, supraglottoplasty should still be considered as treatment for laryngomalacia as the rate is still relatively low (5.9%).</p> </sec> <sec id="lary21855-sec-1005" sec-type="section"> <title>Level of Evidence</title> <p>2b. <italic>Laryngoscope</italic>, 124:777–780, 2014</p> </sec> </abstract>