Practice patterns in supraglottoplasty and perioperative care

Abstract Objectives Supraglottoplasty is the first-line surgical treatment for severe laryngomalacia. The purpose of this study is to determine current trends of practice patterns in management of children requiring supraglottoplasty. Methods A 25-question survey on management in supraglottoplasty was sent by e-mail to 274 physician members of the Society for Ear, Nose & Throat Advances in Children (SENTAC). Results 101 surgeons responded and 72% of respondents were in academic practice (p < 0.0001). All four United States regions, Canada and the United Kingdom were represented. The most commonly reported age of patients undergoing supraglottoplasty was 1-3 months (62% of respondents). Indications include worsening airway symptoms (43%), failure to thrive (41%) and worsening feeding (10%). The majority of respondents (89%) treat these patients for reflux with 54% prescribing PPIs and 41% prescribing H2 blockers. Cold steel is the most popular surgical technique (73%) followed by laser (14%), microdebrider (10%) and coblator (3%) (p