Noninvasive Respiratory Support as an Alternative to Tracheostomy in Severe Laryngomalacia.
Severe laryngomalacia
noninvasive respiratory support
obstructive sleep apnea
pediatric airway
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
revised:
29
09
2021
received:
12
07
2021
accepted:
19
10
2021
pubmed:
30
10
2021
medline:
20
8
2022
entrez:
29
10
2021
Statut:
ppublish
Résumé
To analyze the role of noninvasive respiratory support (NRS) as an alternative to tracheostomy in the management of severe laryngomalacia. We conducted a monocentric retrospective study in a tertiary pediatric care center. All children under the age of 3 years with severe laryngomalacia, treated between January 2014 and December 2019, were included. Patient demographics, medical history, nutrition, surgery, NRS, and outcome were reviewed. Predictors for NRS were analyzed. One hundred and eighty-eight patients were included. Mean age was 4 ± 5 months and mean weight was 4,925 ± 1,933 g. An endoscopic bilateral supraglottoplasty was performed in 183 (97%) patients and successful in 159 (87%). NRS was initiated in 29 (15%) patients at a mean age of 3 ± 2 months (1-11 months): 15 (52%) patients were treated with NRS after surgical failure, 9 (31%) were treated with NRS initiated prior to surgery because of abnormal overnight gas exchange, and 5 (17%) were treated exclusively with NRS due to comorbidities contraindicating an endoscopic procedure. NRS was successfully performed in all patients with a mean duration of 6 ± 11 months. No patient required a tracheostomy. Univariate analysis identified the following predictors of NRS: neonatal respiratory distress (P = .003), neurological comorbidity (P < .001), associated laryngeal abnormality (P < .001), cardiac surgery (P = .039), surgical endoscopic revision (P = .007), and nutritional support (P < .001). NRS is a safe procedure, which may avoid a tracheostomy in severe laryngomalacia, in particular, in case of endoscopic surgery failure, respiratory failure before surgery, and/or severe co-morbidity. 3 Laryngoscope, 132:1861-1868, 2022.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1861-1868Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
Références
Daniel SJ. The upper airway: congenital malformations. Paediatr Respir Rev 2006;7:S260-S263.
Dobbie AM, White DR. Laryngomalacia. Pediatr Clin North Am 2013;60:893-902.
Thompson DM. Abnormal sensorimotor integrative function of the larynx in congenital laryngomalacia: a new theory of etiology. Laryngoscope 2007;117:1-33.
Ayari S, Aubertin G, Girschig H, et al. Management of laryngomalacia. Eur Ann Otorhinolaryngol Head Neck Dis 2013;130:15-21.
Martin JE, Howarth KE, Khodaei I, Karkanevatos A, Clarke RW. Aryepiglottoplasty for laryngomalacia: the Alder hey experience. J Laryngol Otol 2005;119:958-960.
Toynton SC, Saunders MW, Bailey CM. Aryepiglottoplasty for laryngomalacia: 100 consecutive cases. J Laryngol Otol 2001;115:35-38.
Whymark AD, Clement WA, Kubba H, Geddes NK. Laser epiglottopexy for laryngomalacia: 10 years' experience in the west of Scotland. Arch Otolaryngol Head Neck Surg 2006;132:978-982.
O'Donnell S, Murphy J, Bew S, Knight LC. Aryepiglottoplasty for laryngomalacia: results and recommendations following a case series of 84. Int J Pediatr Otorhinolaryngol 2007;71:1271-1275.
Reinhard A, Gorostidi F, Leishman C, Monnier P, Sandu K. Laser supraglottoplasty for laryngomalacia; a 14 year experience of a tertiary referral center. Eur Arch Otorhinolaryngol 2017;274:367-374.
Carter J, Rahbar R, Brigger M, et al. International pediatric ORL group (IPOG) laryngomalacia consensus recommendations. Int J Pediatr Otorhinolaryngol 2016;86:256-261.
Wetmore RF, Marsh RR, Thompson ME, Tom LWC. Pediatric tracheostomy: a changing procedure? Ann Otol Rhinol Laryngol 1999;108:695-699.
Leboulanger N, Fauroux B. Non-invasive positive-pressure ventilation in children in otolaryngology. Eur Ann Otorhinolaryngol Head Neck Dis 2013;130:73-77.
Leboulanger N, Picard A, Soupre V, et al. Physiologic and clinical benefits of noninvasive ventilation in infants with Pierre Robin sequence. Pediatrics 2010;126:e1056-e1063.
Amaddeo A, Abadie V, Chalouhi C, et al. Continuous positive airway pressure for upper airway obstruction in infants with Pierre Robin sequence. Plast Reconstr Surg 2016;137:609-612.
Fauroux B, Pigeot J, Polkey MI, et al. Chronic stridor caused by laryngomalacia in children: work of breathing and effects of noninvasive ventilatory assistance. Am J Respir Crit Care Med 2001;164:1874-1878.
Essouri S, Nicot F, Clément A, et al. Noninvasive positive pressure ventilation in infants with upper airway obstruction: comparison of continuous and bilevel positive pressure. Intensive Care Med 2005;31:574-580.
Zwacka G, Scholle S, Kemper G, Rieger B. Nasal CPAP therapy for infants with congenital stridor. Sleep Breath 1997;2:85-97.
Garcelon N, Neuraz A, Salomon R, et al. A clinician friendly data warehouse oriented toward narrative reports: Dr. Warehouse J Biomed Inform 2018;80:52-63.
Paiva R, Krivec U, Aubertin G, Cohen E, Clément A, Fauroux B. Carbon dioxide monitoring during long-term noninvasive respiratory support in children. Intensive Care Med 2009;35:1068-1074.
Amaddeo A, Moreau J, Frapin A, et al. Long term continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV) in children: initiation criteria in real life: long term CPAP and NIV in children. Pediatr Pulmonol 2016;51:968-974.
Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events. Deliberations of the sleep apnea definitions task force of the American Academy of sleep medicine. J Clin Sleep Med 2012;8:597-619.
Amaddeo A, Frapin A, Touil S, Khirani S, Griffon L, Fauroux B. Outpatient initiation of long-term continuous positive airway pressure in children. Pediatr Pulmonol 2018;53:1422-1428.
Mastouri M, Amaddeo A, Griffon L, et al. Weaning from long term continuous positive airway pressure or noninvasive ventilation in children. Pediatr Pulmonol 2017;52:1349-1354.
Akaike H. Information theory and an extension of the maximum likelihood principle. In: Parzen E, Tanabe K, Kitagawa G, eds. Springer Series in StatisticsSelected Papers of Hirotugu Akaike: New York City: Springer; 1998.
Zucchini Walter. An introduction to model selection. J Math Psychol 2000;44:41-61.
Denoyelle F, Mondain M, Gresillon N, Roger G, Chaudre F, Garabedian EN. Failures and complications of supraglottoplasty in children. Arch Otolaryngol Head Neck Surg 2003;129:1077-1080. discussion 1080.
Dubey SP, Garap JP. Paediatric tracheostomy: an analysis of 40 cases. J Laryngol Otol 1999;113:645-651.
Hartnick CJ, Bissell C, Parsons SK. The impact of pediatric tracheotomy on parental caregiver burden and health status. Arch Otolaryngol Head Neck Surg 2003;129:1065-1069.
Marcus CL, Ward SL, Mallory GB, et al. Use of nasal continuous positive airway pressure as treatment of childhood obstructive sleep apnea. J Pediatr 1995;127:88-94.
Massa F, Gonsalez S, Laverty A, Wallis C, Lane R. The use of nasal continuous positive airway pressure to treat obstructive sleep apnoea. Arch Dis Child 2002;87:438-443.
Girbal IC, Gonçalves C, Nunes T, et al. Non-invasive ventilation in complex obstructive sleep apnea - a 15-year experience of a pediatric tertiary center. Rev Port Pneumol 2014;20:146-151.
Kawaguchi AL, Donahoe PK, Ryan DP. Management and long-term follow-up of patients with types III and IV laryngotracheoesophageal clefts. J Pediatr Surg 2005;40:158-164. discussion 164-165.
Khirani S, Ramirez A, Aloui S, Leboulanger N, Picard A, Fauroux B. Continuous positive airway pressure titration in infants with severe upper airway obstruction or bronchopulmonary dysplasia. Crit Care 2013;17:R167.
Pellen G, Pandit C, Castro C, et al. Use of non-invasive ventilation in children with congenital tracheal stenosis. Int J Pediatr Otorhinolaryngol 2019;127:109672.
Lesnik M, Thierry B, Blanchard M, et al. Idiopathic bilateral vocal cord paralysis in infants: case series and literature review. Laryngoscope 2015;125:1724-1728.
Fauroux B, Khirani S, Amaddeo A, et al. Paediatric long term continuous positive airway pressure and noninvasive ventilation in France: a cross-sectional study. Respir Med 2021;181:106388.
Ramirez A, Khirani S, Aloui S, et al. Continuous positive airway pressure and noninvasive ventilation adherence in children. Sleep Med 2013;14:1290-1294.
Fauroux B, Lavis J-F, Nicot F, et al. Facial side effects during noninvasive positive pressure ventilation in children. Intensive Care Med 2005;31:965-969.
Schroeder JW, Bhandarkar ND, Holinger LD. Synchronous airway lesions and outcomes in infants with severe Laryngomalacia requiring Supraglottoplasty. Arch Otolaryngol Head Neck Surg 2009;135:647-651.
Douglas CM, Shafi A, Higgins G, et al. Risk factors for failure of supraglottoplasty. Int J Pediatr Otorhinolaryngol 2014;78:1485-1488.
Hoff SR, Schroeder JW, Rastatter JC, Holinger LD. Supraglottoplasty outcomes in relation to age and comorbid conditions. Int J Pediatr Otorhinolaryngol 2010;74:245-249.
Day KE, Discolo CM, Meier JD, Wolf BJ, Halstead LA, White DR. Risk factors for supraglottoplasty failure. Otolaryngol Head Neck Surg 2012;146:298-301.
Preciado D, Zalzal G. A systematic review of supraglottoplasty outcomes. Arch Otolaryngol Head Neck Surg 2012;138:718-721.