Supraglottoplasty outcomes in laryngomalacia in children.

PURPOSE OF REVIEW: This review evaluates current evidence on outcomes following supraglottoplasty in children with laryngomalacia. Emphasis is placed on surgical indications, perioperative care, and short-term and long-term functional outcomes.

RECENT FINDINGS: Contemporary studies confirm that supraglottoplasty significantly improves respiratory obstruction, feeding, and sleep-related symptoms for moderate-to-severe laryngomalacia. Patient selection remains critical, with prematurity, neurologic comorbidities, and swallowing dysfunction associated with higher revision and complication rates. Adjunctive investigations such as polysomnography and drug-induced sleep endoscopy increasingly guide tailored intervention strategies.

SUMMARY: Supraglottoplasty remains the cornerstone of surgical management for severe laryngomalacia, with high success rates and generally low complication profiles. Surgical techniques, comorbidity profiles, and preoperative evaluation methods continue to evolve to optimize outcomes and minimize revision surgery.