Pectus excavatum in children with laryngomalacia

Daniel Schaerer, Jordan Virbalas, Elena Willis, Bianca Siegal, Nathan Gonik, John P. Bent

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Laryngomalacia is the most common congenital laryngeal anomaly and is associated with several disorders including gastric reflux, sleep apnea, hypotonia and failure to thrive. Pectus excavatum (PE) is the most common chest wall deformity affecting 1-300/1000 individuals. Though many authors presume a relationship between PE and laryngomalacia, there is no published data to establish this association. Goal: To test the hypothesis that patients referred to our pediatric otolaryngology clinic for evaluation of laryngomalacia exhibit higher rates of PE than the general population. Methods: Retrospective review of prospectively enrolled children who presented with laryngomalacia (January 2008-June 2012) to a tertiary care, hospital based, pediatric otolaryngology practice. Each chart was examined for a concurrent diagnosis of pectus deformity. Results: Of the 137 laryngomalacia patients, 9 (6.6%) had documented PE. This represents a significantly increased rate of PE when compared to children without laryngomalacia (p= 0.001). Four of the 9 children with PE underwent supraglottoplasty for laryngomalacia, a significantly greater proportion than the 9/128 of the children with isolated laryngomalacia who underwent supraglottoplasty (p= 0.004). Conclusions: This study suggests an association between laryngomalacia and PE. Pediatric otolaryngologists should be cognizant of this relationship, though further studies are needed to elucidate the nature of this association.

Original languageEnglish (US)
Pages (from-to)1721-1723
Number of pages3
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume77
Issue number10
DOIs
StatePublished - Oct 2013

Fingerprint

Laryngomalacia
Funnel Chest
Otolaryngology
Pediatrics
Failure to Thrive
Muscle Hypotonia
Sleep Apnea Syndromes
Thoracic Wall
Tertiary Healthcare
Tertiary Care Centers
Stomach

Keywords

  • Laryngomalacia
  • Pectus excavatum
  • Pediatric otolaryngology

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health

Cite this

Pectus excavatum in children with laryngomalacia. / Schaerer, Daniel; Virbalas, Jordan; Willis, Elena; Siegal, Bianca; Gonik, Nathan; Bent, John P.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 77, No. 10, 10.2013, p. 1721-1723.

Research output: Contribution to journalArticle

Schaerer, Daniel ; Virbalas, Jordan ; Willis, Elena ; Siegal, Bianca ; Gonik, Nathan ; Bent, John P. / Pectus excavatum in children with laryngomalacia. In: International Journal of Pediatric Otorhinolaryngology. 2013 ; Vol. 77, No. 10. pp. 1721-1723.
@article{17f110d108584357a85703ffea604dc5,
title = "Pectus excavatum in children with laryngomalacia",
abstract = "Background: Laryngomalacia is the most common congenital laryngeal anomaly and is associated with several disorders including gastric reflux, sleep apnea, hypotonia and failure to thrive. Pectus excavatum (PE) is the most common chest wall deformity affecting 1-300/1000 individuals. Though many authors presume a relationship between PE and laryngomalacia, there is no published data to establish this association. Goal: To test the hypothesis that patients referred to our pediatric otolaryngology clinic for evaluation of laryngomalacia exhibit higher rates of PE than the general population. Methods: Retrospective review of prospectively enrolled children who presented with laryngomalacia (January 2008-June 2012) to a tertiary care, hospital based, pediatric otolaryngology practice. Each chart was examined for a concurrent diagnosis of pectus deformity. Results: Of the 137 laryngomalacia patients, 9 (6.6{\%}) had documented PE. This represents a significantly increased rate of PE when compared to children without laryngomalacia (p= 0.001). Four of the 9 children with PE underwent supraglottoplasty for laryngomalacia, a significantly greater proportion than the 9/128 of the children with isolated laryngomalacia who underwent supraglottoplasty (p= 0.004). Conclusions: This study suggests an association between laryngomalacia and PE. Pediatric otolaryngologists should be cognizant of this relationship, though further studies are needed to elucidate the nature of this association.",
keywords = "Laryngomalacia, Pectus excavatum, Pediatric otolaryngology",
author = "Daniel Schaerer and Jordan Virbalas and Elena Willis and Bianca Siegal and Nathan Gonik and Bent, {John P.}",
year = "2013",
month = "10",
doi = "10.1016/j.ijporl.2013.07.033",
language = "English (US)",
volume = "77",
pages = "1721--1723",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",
number = "10",

}

TY - JOUR

T1 - Pectus excavatum in children with laryngomalacia

AU - Schaerer, Daniel

AU - Virbalas, Jordan

AU - Willis, Elena

AU - Siegal, Bianca

AU - Gonik, Nathan

AU - Bent, John P.

PY - 2013/10

Y1 - 2013/10

N2 - Background: Laryngomalacia is the most common congenital laryngeal anomaly and is associated with several disorders including gastric reflux, sleep apnea, hypotonia and failure to thrive. Pectus excavatum (PE) is the most common chest wall deformity affecting 1-300/1000 individuals. Though many authors presume a relationship between PE and laryngomalacia, there is no published data to establish this association. Goal: To test the hypothesis that patients referred to our pediatric otolaryngology clinic for evaluation of laryngomalacia exhibit higher rates of PE than the general population. Methods: Retrospective review of prospectively enrolled children who presented with laryngomalacia (January 2008-June 2012) to a tertiary care, hospital based, pediatric otolaryngology practice. Each chart was examined for a concurrent diagnosis of pectus deformity. Results: Of the 137 laryngomalacia patients, 9 (6.6%) had documented PE. This represents a significantly increased rate of PE when compared to children without laryngomalacia (p= 0.001). Four of the 9 children with PE underwent supraglottoplasty for laryngomalacia, a significantly greater proportion than the 9/128 of the children with isolated laryngomalacia who underwent supraglottoplasty (p= 0.004). Conclusions: This study suggests an association between laryngomalacia and PE. Pediatric otolaryngologists should be cognizant of this relationship, though further studies are needed to elucidate the nature of this association.

AB - Background: Laryngomalacia is the most common congenital laryngeal anomaly and is associated with several disorders including gastric reflux, sleep apnea, hypotonia and failure to thrive. Pectus excavatum (PE) is the most common chest wall deformity affecting 1-300/1000 individuals. Though many authors presume a relationship between PE and laryngomalacia, there is no published data to establish this association. Goal: To test the hypothesis that patients referred to our pediatric otolaryngology clinic for evaluation of laryngomalacia exhibit higher rates of PE than the general population. Methods: Retrospective review of prospectively enrolled children who presented with laryngomalacia (January 2008-June 2012) to a tertiary care, hospital based, pediatric otolaryngology practice. Each chart was examined for a concurrent diagnosis of pectus deformity. Results: Of the 137 laryngomalacia patients, 9 (6.6%) had documented PE. This represents a significantly increased rate of PE when compared to children without laryngomalacia (p= 0.001). Four of the 9 children with PE underwent supraglottoplasty for laryngomalacia, a significantly greater proportion than the 9/128 of the children with isolated laryngomalacia who underwent supraglottoplasty (p= 0.004). Conclusions: This study suggests an association between laryngomalacia and PE. Pediatric otolaryngologists should be cognizant of this relationship, though further studies are needed to elucidate the nature of this association.

KW - Laryngomalacia

KW - Pectus excavatum

KW - Pediatric otolaryngology

UR - http://www.scopus.com/inward/record.url?scp=84884279439&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884279439&partnerID=8YFLogxK

U2 - 10.1016/j.ijporl.2013.07.033

DO - 10.1016/j.ijporl.2013.07.033

M3 - Article

C2 - 24018355

AN - SCOPUS:84884279439

VL - 77

SP - 1721

EP - 1723

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

SN - 0165-5876

IS - 10

ER -