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Management of supraglottic stenosis using interarytenoid Z-plasty: how I do it

Published online by Cambridge University Press:  06 May 2024

Hussein Jaffal Open the ORCID record for Hussein Jaffal [Opens in a new window] ,
Parker Tumlin  and
Erica McArdle
Hussein Jaffal*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, West Virginia University, Morgantown, WV, USA
Parker Tumlin
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, West Virginia University, Morgantown, WV, USA
Erica McArdle
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, West Virginia University, Morgantown, WV, USA
*
Corresponding author: Hussein Jaffal; Email: [email protected]
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Abstract

Background

Supraglottoplasty is the primary surgical treatment of congenital laryngomalacia. Supraglottic stenosis is a rare complication of supraglottoplasty that is difficult to manage.

Methods

This study presents a new endoscopic mucosa-sparing Z-plasty double transposition flap technique that was used to manage supraglottic stenosis following supraglottoplasty for severe congenital laryngomalacia in an eight-month-old infant.

Results

At 10 months post-operatively, the patient remained asymptomatic and flexible laryngoscopy showed adequate supraglottic patency.

Conclusion

Endoscopic interarytenoid Z-plasty is a safe and effective technique in the management of paediatric supraglottic stenosis.

Keywords

Laryngomalaciaairway obstructionlaryngostenosisotorhinolaryngologic surgical procedurespediatrics
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 10 , October 2024 , pp. 1048 - 1051
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Hussein Jaffal takes responsibility for the integrity of the content of the paper

References

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Colliard, A, Ishii, A, De Sandre, C, Gorostidi, F, Sandu, K. Decoding supraglottic stenosis. Eur Arch Otorhinolaryngol 2020;277:293–300CrossRefGoogle ScholarPubMed
Yılmaz, T. Endoscopic Z-plasty for treatment of supraglottic stenosis: experience on nine patients. Laryngoscope 2021;131:E534–9CrossRefGoogle ScholarPubMed
Sandu, K, Perez, MH, Longchamp, D, Chollet, M, Gorostidi, F. Endoscopic treatment of post-supraglottoplasty stenosis. Clin Otolaryngol 2018;43:1640–3CrossRefGoogle ScholarPubMed
Avillion, MP, Neighbors, CLP, Biello, A, Anderson, LC, Liming, BJ, Camacho, M. Unilateral vs bilateral supraglottoplasty: a meta-analysis of rates of return to surgery and supraglottic stenosis. Otolaryngol Head Neck Surg 2019;161:742–53CrossRefGoogle ScholarPubMed
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