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Endoscopic epiglottopexy using Lichtenberger's needle carrier to avoid breakdown of repair

Sandu, Kishore ; Monnier, Philippe ; Reinhard, Antoine ; Gorostidi, Francois

In: European Archives of Oto-Rhino-Laryngology, 2015, vol. 272, no. 11, p. 3385-3390

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    Titre
    • Endoscopic epiglottopexy using Lichtenberger's needle carrier to avoid breakdown of repair
    Auteur
    • Sandu, Kishore. Department of Otolaryngology, University Hospital, Lausanne, Switzerland
    • Monnier, Philippe. Department of Otolaryngology, University Hospital, Lausanne, Switzerland
    • Reinhard, Antoine. Department of Otolaryngology, University Hospital, Lausanne, Switzerland
    • Gorostidi, Francois. Department of Otolaryngology, University Hospital, Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • European Archives of Oto-Rhino-Laryngology, 2015, vol. 272, no. 11, p. 3385-3390. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:331896
    Summary
    Severe type III laryngomalacia LM is represented by a retroflexed epiglottis that touches the posterior pharyngeal wall and obstructs the laryngeal inlet. Endoscopic epiglottopexy is advised in such cases wherein pexy sutures are passed between the epiglottis and base of tongue. Using conventional needle carriers, it is difficult to pass such sutures that go deep enough into the tongue base. Such a pexy is prone to a break down. We describe a novel technique of placing these glossoepiglottic sutures using the Lichtenberger's needle carrier. We used this technique in three patients with excellent results and report no complications. We propose to use this technique in cases of epiglottic prolapse seen in severe LM and certain hypotonic conditions.