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Surgical treatment of a case of adult epiglottic laryngomalacia.

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Surgical treatment of a case of adult epiglottic laryngomalacia.

Eur Ann Otorhinolaryngol Head Neck Dis. 2015 Feb;132(1):45-7

Authors: Bartolomeo M, Bigi A, Pelliccia P, Makeieff M

Abstract
INTRODUCTION: Adult laryngomalacia is rare. It may be idiopathic or secondary to trauma or degenerative disease.
CASE REPORT: A 25-year-old man presented with inspiratory dyspnea on effort of several months' evolution. Flexible endoscopy found epiglottic laryngomalacia, managed by CO2 laser V-shaped partial epiglottectomy.
DISCUSSION: Excessive resection of the epiglottis may lead to false passage; insufficient resection risks being ineffective. V-shaped partial epiglottectomy minimizes risk of false passage while ensuring permanent respiratory airflow via the epiglottic V during epiglottic movement.

PMID: 25614370 [PubMed - indexed for MEDLINE]



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