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CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(01): e170-e176
DOI: 10.1055/s-0042-1755309
Systematic Review

The Prevalence of Dysphagia in Children with Laryngomalacia Pre and Postsupraglottoplasty: A Systematic Review with Meta-Analysis

Eduarda Pinto Rossoni 
1   Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil
,
Vanessa Souza Gigoski de Miranda 
2   Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
,
Lisiane De Rosa Barbosa 
3   Department of Speech Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil
4   Irmandade of Santa Casa de Misericórdia, Hospital da Criança Santo Antônio, Porto Alegre, RS, Brazil
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Abstract

Introduction Laryngomalacia is the most common congenital laryngeal alteration, with spontaneous resolution in most cases. However, in the face of more severe presentations of the disease, it is necessary to perform supraglottoplasty surgery. Studies have been dedicated to researching changes in swallowing in children with laryngomalacia before and after surgical intervention.

Objectives To identify the prevalence of oropharyngeal dysphagia in children with pre and postsupraglottoplasty laryngomalacia.

Data Synthesis A search strategy was developed with terms and entreterms to designate a population pediatric with laryngomalacia, exposure supraglottoplasty, and outcome frequency of dysphagia, adapted to the requirements of the main databases in the health area. The analysis of the records found was performed by two independent examiners and, in the end, 6 articles were included in the study. The articles found enabled a sample of 330 children with laryngomalacia, 311 of whom underwent supraglottoplasty. Among the included studies, 5 were grouped and meta-analyzed. After supraglottoplasty surgery, a 59% reduction in the prevalence of oropharyngeal dysphagia was identified, with high heterogeneity I2 = 93%.

Conclusion Despite the heterogeneity of the sample, the supraglottoplasty procedure significantly reduces the prevalence of dysphagia in children with laryngomalacia.

Keywords

infant - newborn - deglutition - deglutition disorders - laryngomalacia - aspiration


Publikationsverlauf

Eingereicht: 09. Juli 2021

Angenommen: 28. Juni 2022

Artikel online veröffentlicht:
05. Februar 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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