Endoscopic laser surgery in pediatric airway management

Abstract

Pediatric airway management is a life-threatening problem for children and always a challenge to pediatric otolaryngologists. Endoscopic techniques for evaluation and management of airway in pediatric patients have matured greatly in the past decade, especially with the introduction of Laser instrumentation. For example, to treat severe laryngomalacia, subglottic hemangioma, laryngeal papillomatosis, granuloma or web, subglottic or tracheal stenosis, bilateral vocal fold paralysis, tracheobronchial tumor etc. were all effective in selective cases. These developments have been proved that pediatric endoscopic laser surgery can be performed in the airway safely and effectively when a team approach is used. The appropriate choice of laser instruments, anesthesia access, post-operation intensive cares, cooperation and understanding of families were all essential factors for a successful endoscopic laser surgery in pediatric airway management.