{"title":"The role of epiglottopexy for pediatric OSA","authors":"Adam R. Szymanowski MD, Mary Frances Musso DO","doi":"10.1016/j.otot.2023.09.011","DOIUrl":null,"url":null,"abstract":"<div><p><span><span><span><span>Epiglottopexy is an uncommon, but effective procedure for pediatric patients with obstructive sleep apnea. It is important to establish retroflexion and collapse of the </span>epiglottis at the base of </span>tongue<span> prior to surgery. Preoperative polysomnogram, flexible fiberoptic laryngoscopy, and sometimes </span></span>drug induced sleep </span>endoscopy<span> are critical components of the workup as many patients who benefit from epiglottopexy have already failed primary adenotonsillectomy. The surgery involves demucosalizing the base of tongue and lingual surface of the epiglottis and securing the 2 structures to one another. Patients tolerate the procedure well and can often be discharged home the following day.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 3","pages":"Pages 195-198"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Otolaryngology - Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1043181023000519","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Epiglottopexy is an uncommon, but effective procedure for pediatric patients with obstructive sleep apnea. It is important to establish retroflexion and collapse of the epiglottis at the base of tongue prior to surgery. Preoperative polysomnogram, flexible fiberoptic laryngoscopy, and sometimes drug induced sleep endoscopy are critical components of the workup as many patients who benefit from epiglottopexy have already failed primary adenotonsillectomy. The surgery involves demucosalizing the base of tongue and lingual surface of the epiglottis and securing the 2 structures to one another. Patients tolerate the procedure well and can often be discharged home the following day.
期刊介绍：
This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.
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