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Proceedings Paper

Laser supraglottoplasty: development of an outcomes tool
Author(s): Udayan K. Shah; Ralph F. Wetmore
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Paper Abstract

Laryngomalacia is a common cause of airway obstruction in neonates and infants that, when severe, may be treated surgically via laser supraglottoplasty. Despite individual surgeons' successful experience with this technique, an objective broadly applied assessment of patient outcomes has been lacking. This is worrisome since the provision of health care is increasingly judged by the ultimate result: whether a person's quality of life is better for having undergone a particular procedure. Institutions that lack evidence of such benefit will face difficulty in justifying, and in obtaining compensation for, their services. We share our tool for the measurement of outcomes following laser supraglottoplasty. Over the past year, we have found this tool to be easily and rapidly applied. The wide range of possible combinations of patient presentation and the specific anatomic conformation of the laryngomalacia are effectively organized into standard database format, allowing for relevant clinical and anatomic information to be compared to post-operative indicators of outcome. We hope that this discussion prompts the development of similar tools for patient assessment following other laser airway procedures. Our ability as health care provides to control patient care depends upon the presentation of cogent, convincing evidence of improved patient well-being following treatment.

Paper Details

Date Published: 22 June 1999
PDF: 5 pages
Proc. SPIE 3590, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX, (22 June 1999); doi: 10.1117/12.350973
Show Author Affiliations
Udayan K. Shah, Childrens Hospital of Philadelphia and Univ. of Pennsylvania School of Medicine (United States)
Ralph F. Wetmore, Childrens Hospital of Philadelphia and Univ. of Pennsylvania School of Medicine (United States)

Published in SPIE Proceedings Vol. 3590:
Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX
Kenton W. Gregory; R. Rox Anderson; David S. Robinson; Reza S. Malek; Lou Reinisch; Darryl J. Bornhop; Kenneth Eugene Bartels; Hans-Dieter Reidenbach; Lloyd P. Tate; C. Gaelyn Garrett; Eugene A. Trowers; Aaron P. Perlmutter; Kenneth Eugene Bartels; Lawrence S. Bass; Darryl J. Bornhop; C. Gaelyn Garrett; Kenton W. Gregory; Nikiforos Kollias; Harvey Lui; Reza S. Malek; Aaron P. Perlmutter; Hans-Dieter Reidenbach; Lou Reinisch; David S. Robinson; Lloyd P. Tate; Eugene A. Trowers, Editor(s)

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