Updates and Innovations in Pediatric Laryngology

Abstract

Program Description: The field of pediatric laryngology has experienced tremendous growth in the past few years; the increased focus on voice-related quality of life issues in pediatric airway is a prime example of this. Much in the development of pediatric laryngology reflects the complementary efforts of laryngologists and pediatric otolaryngologists supported by key technological advancements. This miniseminar incorporates the viewpoints of several clinicians experienced in the management of pediatric laryngeal disorders, particularly those related to voice. The presenters will focus on clinically relevant matters for both general and specialty otolaryngologists, including diagnosis, common pathologies, as well as both operative and non-operative approaches and techniques. The anatomical and physiological basis for pediatric laryngology care will be reviewed. Specific components of the interactive session will include addressing these questions: What is the role of videostroboscopy in children? What is the role of FEES and FEESST testing in children? What is the role of in-office tracheobronchoscopy? Who should be referred for these tests? Fundamental pathologies impacting pediatric laryngology will be reviewed, including benign vocal lesions, RRP, laryngeal webs, subglottic stenosis, and hemangioma. Non-operative innovations will be discussed including propanolol, mitomycin, steroids, Botulinum toxin, and fillers. Operative innovations will include the use of cold versus laser technique for benign lesions, a brief discussion of open techniques, and recent augmentations to standard open techniques. Differing practical approaches for operative and non-operative techniques will be discussed in a panel format with presentations of challenging cases after the initial diagnostic, pathological, and interventional options have been discussed in a lecture format.

Educational Objectives: 1) Understand the clinical role of specific diagnostic tests in pediatric laryngology. 2) Approach clinical issues in pediatric laryngology and address them with practical non-operative and operative solutions. 3) Understand the clinical advantages and disadvantages of individual non-operative and operative solutions.