{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:07:23Z","timestamp":1793383643817,"version":"4.5.0"},"reference-count":27,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:00:00Z","timestamp":1684713600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215123000932_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To compare supraglottoplasty versus non-surgical treatment in children with laryngomalacia and mild, moderate and severe obstructive sleep apnoea.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123000932_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Patients were classified based on their obstructive apnoea hypopnoea index on initial polysomnogram, which was compared to their post-treatment polysomnogram.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123000932_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Eighteen patients underwent supraglottoplasty, and 12 patients had non-surgical treatment. The average obstructive apnoea hypopnoea index after supraglottoplasty fell by 12.68 events per hour (<jats:italic>p<\/jats:italic> = 0.0039) in the supraglottoplasty group and 3.3 events per hour (<jats:italic>p<\/jats:italic> = 0.3) in the non-surgical treatment group. Comparison of the change in obstructive apnoea hypopnoea index in the surgical versus non-surgical groups did not meet statistical significance (<jats:italic>p<\/jats:italic> = 0.09).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123000932_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>All patients with laryngomalacia and obstructive sleep apnoea had a statistically significant improvement in obstructive apnoea hypopnoea index after supraglottoplasty irrespective of obstructive sleep apnoea severity, whereas patients who received non-surgical treatment had more variable and unpredictable results. Direct comparison of the change between the two groups did not find supraglottoplasty to be superior to non-surgical treatment. Larger prospective studies are recommended.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215123000932","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T08:09:16Z","timestamp":1684742956000},"page":"436-442","source":"Crossref","is-referenced-by-count":3,"title":["Polysomnogram outcomes in patients with laryngomalacia and obstructive sleep apnoea treated surgically versus non-surgically"],"prefix":"10.1017","volume":"138","author":[{"given":"Nicolas J","family":"Casellas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5109-8931","authenticated-orcid":false,"given":"Shalini","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saiganesh","family":"Ravikumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan D","family":"Vandjelovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Faria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul D","family":"Allen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margo K","family":"McKenna Benoit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,5,22]]},"reference":[{"key":"S0022215123000932_ref4","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.ijporl.2016.04.007","article-title":"International Pediatric ORL Group (IPOG) laryngomalacia consensus recommendations","volume":"86","author":"Carter","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"S0022215123000932_ref7","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1177\/0194599818775091","article-title":"Impact of infant supraglottoplasty on quality of life","volume":"159","author":"Vandjelovic","year":"2018","journal-title":"Otolaryngol Head Neck Surg"},{"key":"S0022215123000932_ref10","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1136\/adc.56.5.345","article-title":"Laryngomalacia and inspiratory obstruction in later childhood","volume":"56","author":"Smith","year":"1981","journal-title":"Arch Dis Child"},{"key":"S0022215123000932_ref11","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1164\/rccm.201108-1455CI","article-title":"Obstructive sleep apnoea in infants","volume":"185","author":"Katz","year":"2012","journal-title":"Am J Respir Crit Care Med"},{"key":"S0022215123000932_ref13","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1001\/jamaoto.2016.0830","article-title":"Objective outcomes of supraglottoplasty for children with laryngomalacia and obstructive sleep apnoea: a meta-analysis","volume":"142","author":"Farhood","year":"2016","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"S0022215123000932_ref14","doi-asserted-by":"crossref","first-page":"110255","DOI":"10.1016\/j.ijporl.2020.110255","article-title":"Prevalence of obstructive sleep apnoea in children with laryngomalacia and value of polysomnography in treatment decisions","volume":"137","author":"Verkest","year":"2020","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"S0022215123000932_ref16","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1002\/lary.25827","article-title":"Supraglottoplasty for laryngomalacia with obstructive sleep apnoea: a systematic review and meta-analysis","volume":"126","author":"Camacho","year":"2016","journal-title":"Laryngoscope"},{"key":"S0022215123000932_ref25","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s00405-016-4218-8","article-title":"Total analysis of clinical factors for surgical success of adenotonsillectomy in pediatric OSAS","volume":"274","author":"Chang","year":"2017","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"S0022215123000932_ref26","doi-asserted-by":"crossref","first-page":"1770","DOI":"10.1097\/00005537-199911000-00009","article-title":"Laryngomalacia and its treatment","volume":"109","author":"Olney","year":"1999","journal-title":"Laryngoscope"},{"key":"S0022215123000932_ref27","doi-asserted-by":"crossref","first-page":"1562","DOI":"10.1016\/j.ijporl.2011.09.008","article-title":"Laryngomalacia: the role of gender and ethnicity","volume":"75","author":"Edmondson","year":"2011","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"S0022215123000932_ref23","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1177\/0194599820985000","article-title":"Expert consensus statement: pediatric drug-induced sleep endoscopy","volume":"165","author":"Baldassari","year":"2021","journal-title":"Otolaryngol Head Neck Surg"},{"key":"S0022215123000932_ref21","unstructured":"21 National Center for Health Statistics (NCHS). 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