Laser partial epiglottidectomy as a treatment for obstructive sleep apnea and laryngomalacia

Obstructive sleep apnea (OSA) and laryngomalacia are two different entities . Occasionally, they may have a common etiology: an elongated, flaccid, and lax epiglottis that is displaced posteriorly during inspiration causing ai rway Obstruction. Twenty-seven adults with a diagnosis of airway obstructio n or OSA of various degrees, and 12 infants with severe strider associated with frequent apneas due to laryngomalacia, who on fiberoptic examination w ere found to have a posteriorly displaced epiglottis, underwent partial epi glottidectomy with a CO2 laser. Their postoperative recovery was uneventful . Polysomnographic studies performed after operation in the adult patients demonstrated statistically significant improvement in 85% of the patients. in all the cases of laryngomalacia, strider ceased permanently after surger y, together with complete cessation of the apneic episodes. This study demo nstrates that similar pathophysiological mechanisms may be involved in both laryngomalacia and in OSA, Effective and relatively safe treatment can be achieved by partial resection of the epiglottis with a microlaryngoscopic C O2 laser.