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Int. J. Pediatr. Otorhinolaryngol. · Sep 2011
Review Case ReportsManagement of supraglottic dysgenesis presenting as laryngomalacia.
- Behrad B Aynehchi, Nira A Goldstein, and Ari J Goldsmith.
- State University of New York Downstate Medical Center, Brooklyn, NY, United States. baynehchi@gmail.com
- Int. J. Pediatr. Otorhinolaryngol. 2011 Sep 1; 75 (9): 1204-6.
AbstractLaryngomalacia is a common source of stridor and can lead to significant upper airway obstruction and feeding disturbances in infants. We describe a unique case of supraglottic dysgenesis presenting as laryngomalacia featuring a prominent "s-shaped" epiglottis with both posterior edges fused to the right aryepiglottic fold/arytenoid complex. Although this anomaly is not accounted for in any of the current laryngomalacia classification schemes, modified laser supraglottoplasty was a satisfactory approach leading to successful decannulation. Laryngeal embryology and possible timing of the pathogenesis of this rare occurrence are reviewed as well.Published by Elsevier Ireland Ltd.
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