Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 95-99.doi: 10.6040/j.issn.1673-3770.0.2021.259

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Application of laryngeal microsurgery in severe neonatal upper airway obstruction

ZENG Bin1, LÜ Dan1, REN Jia1, HU Juanjuan1, YU Lingyu1, LU Huan2, YANG Hui1   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, Chengdu Wuhou Likang Hospital, Chengdu 610041, Sichuan, China
  • Published:2022-02-22

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Abstract: Objective The aim of this study was to explore the etiology, clinical features, and the microsurgery efficacy of severe neonatal upper airway obstruction, to achieve better diagnosis and treatment of neonatal obstructive dyspnea. Methods An observative research was conducted enrolling 16 neonates with severe throat-related upper airway obstruction. Results A total of 16 neonates(9 males and 7 females)were registered, whose clinical symptoms appeared 7-28 days after birth and included inspiratory dyspnea, stridor, and the three-concave sign. Patients were classified as follows: 6 cases of congenital laryngomalacia; 3 hypopharynx and tongue root cysts; 2 laryngeal hemangiomas; 1 laryngeal entrance teratoma; 1 congenital laryngeal webbing; 1 bilateral vocal cord paralysis; 1 secondary subglottic stricture; 1 laryngeal adhesion after intubation. All 16 neonates were treated with appropriate microsurgery, and all operations went smoothly. Altogether, 15 neonates were extubated smoothly, except for 1 case of laryngomalacia in which a tracheotomy was performed. Conclusion Severe neonatal upper airway obstruction is mostly frequently related to laryngopharynx lesions. Early local and systemic examinations are required to confirm the cause and diagnosis. Timely minimally invasive surgery for patients with surgical indications can achieve satisfactory results and save their lives.

Key words: Neonatal, Laryngeal obstruction, Upper airway obstruction, Laryngeal microsurgery, Treatment

CLC Number: 

  • R767.13
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