For Laryngomalacia, Microdebrider-Assisted Supraglottoplasty Preferred

The authors state that in the long term, a high arched palate and cross-bite deformity are more likely to be present if the patients undergo the transpalatal approach in the first year of life, especially if CHARGE syndrome is also present, but this trend was not seen with the transnasal or endoscopic techniques. Dr. Hengerer states that he favors the nasal endoscopic technique because it has a low restenosis rate, does not violate the palate, and does not cause the cross-bite and palate arch deformities seen with the transpalatal technique.

(Laryngoscope 2008;118:862-6)

©2008 The Triological Society