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Laryngotracheal separation in an infant with severe dysgenesis of the larynx. Laryngoscope 2014 Sep;124(9):2186-9

Date

04/12/2014

Pubmed ID

24723435

DOI

10.1002/lary.24710

Scopus ID

2-s2.0-84906656206 (requires institutional sign-in at Scopus site)

Abstract

OBJECTIVES/HYPOTHESIS: We describe management of an infant with chronic aspiration as a result of severe and rarely described laryngeal dysgenesis.

RESULTS: A neonate with severe maldevelopment of the laryngeal structures required tracheostomy for respiratory distress on day-of-life 1, but the patient continued to have aspiration pneumonias. After failing to improve with conservative measures, the infant underwent laryngotracheal separation (LTS), which was successful in preventing aspiration. The patient has had no further pneumonias.

CONCLUSIONS: The presented case illustrates that LTS may be considered a safe and effective initial treatment option for chronic aspiration in select infants with severe dysgenesis of the larynx.

Author List

McCormick ME, Reilly BK, Murnick JG, Bedwell JR

Author

Michael E. McCormick MD Professor in the Otolaryngology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Humans
Infant
Larynx
Male
Severity of Illness Index
Trachea