{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:51:32Z","timestamp":1786978292698,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T00:00:00Z","timestamp":1625529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,12]]},"abstract":"\n Objectives\/Hypothesis<\/jats:title>\n Determine the incidence of short\u2010 and long\u2010term dysphagia in pediatric patients with and without syndromes\/neurodevelopmental delay following supraglottoplasty (SGP) at our institution.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Retrospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective cohort study of children \u226418\u2009years old who underwent SGP from 2014 to 2019 was undertaken. Age at surgery, sex, race, insurance, underlying syndromes\/neurodevelopmental delay, concurrent surgical procedures, and clinical swallowing assessments were reviewed. Logistic regression was performed to identify factors associated with postoperative feeding difficulties. Time\u2010to\u2010event analysis was performed to assess time to resolution of dysphagia.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 231 patients were identified. Average age at time of SGP was 13.7\u2009months. Of 231 patients, 88 (38.1%) had a syndrome\/neurodevelopmental delay. Of these 231 patients, 112 had a preoperative videofluoroscopic swallow study or fiberoptic endoscopic evaluation of swallowing, of whom 53\/112 (47.3%) had dysphagia. After SGP, 138\/231 (59.7%) underwent clinical\/instrumental swallowing assessments, of whom 95\/138 (68.8%) had immediate postsurgical dysphagia. At last follow\u2010up (1\u2009month to 45\u2009months), 15\/95 (15.8%) had persistent dysphagia on instrumental assessment, 14\/15 of whom had syndromes\/neurodevelopmental delay. Time\u2010to\u2010event analysis revealed that for the nonsyndromic cohort, 25% had resolution of dysphagia by 4\u2009months, 50% by 10\u2009months, and 75% by 14\u2009months. Cox proportional hazards regression revealed that the presence of underlying syndromes\/neurodevelopmental delay was the only factor predictive of long\u2010term postoperative dysphagia (hazard ratio of resolution 0.21 [95% confidence interval 0.096\u20130.48]).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n While short\u2010term feeding difficulties following SGP in pediatric patients are not uncommon, long\u2010term dysphagia is rare in patients without syndromes\/neurodevelopmental delay. These data can be used when counseling caregivers about the risks and benefits of SGP.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n \n 4\n Laryngoscope<\/jats:italic>\n , 131:2817\u20132822, 2021\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.29704","type":"journal-article","created":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T09:06:20Z","timestamp":1625562380000},"page":"2817-2822","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Swallowing Outcomes Following Supraglottoplasty: A Retrospective Review"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0470-2117","authenticated-orcid":false,"given":"Mai","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Emory University School of Medicine Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3421-9580","authenticated-orcid":false,"given":"Laura","family":"Brooks","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Services Children's Healthcare of Atlanta Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Wetzel","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Department of Pediatrics Emory University School of Medicine Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3748-2691","authenticated-orcid":false,"given":"Nikhila","family":"Raol","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Emory University School of Medicine Atlanta Georgia U.S.A."},{"name":"Division of Pediatric Otolaryngology Children's Healthcare of Atlanta Atlanta Georgia 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