<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462025000600005</article-id>
<article-id pub-id-type="doi">10.24875/bmhim.24000169</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Supraglotoplastia en laringomalacia grave: impacto en la ganancia ponderal y resolución de síntomas en lactantes]]></article-title>
<article-title xml:lang="en"><![CDATA[Supraglottoplasty in severe laryngomalacia: impact on weight gain and symptoms resolution in infants]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Hernández]]></surname>
<given-names><![CDATA[Enrique G.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valladolid]]></surname>
<given-names><![CDATA[Ingrid]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Athziri]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[Anet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán]]></surname>
<given-names><![CDATA[Diego]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León]]></surname>
<given-names><![CDATA[Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santana]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Civil Fray Antonio Alcalde Servicio de Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>82</volume>
<numero>6</numero>
<fpage>369</fpage>
<lpage>374</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462025000600005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462025000600005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462025000600005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La laringomalacia es la principal causa congénita de estridor en pediatría. Su tratamiento depende de la gravedad; los casos graves que cursan con apneas o falta de ganancia ponderal requieren intervención quirúrgica, siendo la supraglotoplastia el tratamiento de elección, logrando generalmente la resolución de síntomas.  Métodos: Se realizó un estudio descriptivo longitudinal mediante una cohorte retrospectiva. Se analizaron los expedientes de pacientes con el diagnóstico de laringomalacia grave a los que se les haya realizado supraglotoplastia, obteniendo datos sociodemográficos, síntomas principales, así como su evolución posquirúrgica, peso prequirúrgico y ganancia ponderal al mes del procedimiento, además de complicaciones quirúrgicas.  Resultados: Se incluyeron 19 pacientes (16 de sexo masculino y 3 de sexo femenino), cuya edad media fue de 3.16 meses. El síntoma principal fue estridor y el 36.9% presentó como enfermedad concomitante reflujo gastroesofágico. La supraglotoplastia tuvo un éxito del 68.4% en el primer mes posquirúrgico y posterior del 100% durante el seguimiento. Todos los pacientes mostraron ganancia de peso y el 15% alcanzó un peso adecuado para su edad.  Conclusiones: La supraglotoplastia se confirma como tratamiento eficaz para la laringomalacia grave, ya que logra resolver síntomas respiratorios y mejora el estado nutricional de los pacientes, aumentando su ganancia ponderal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Laryngomalacia is the leading congenital cause of stridor in pediatrics. Its management depends on severity; severe cases accompanied by apnea or poor weight gain require surgical intervention, with supraglottoplasty being the treatment of choice, generally resulting in symptom resolution.  Methods: A longitudinal descriptive study was conducted through a retrospective cohort. Medical records of patients diagnosed with severe laryngomalacia who underwent supraglottoplasty were analyzed, collecting sociodemographic data, main symptoms, post-surgical evolution, pre-surgical weight, and weight gain one month after the procedure, as well as surgical complications.  Results: A total of 19 patients (16 males and 3 females) were included, with a mean age of 3.16 months. The main symptom was stridor, and 36.9% had concomitant gastroesophageal reflux disease. Supraglottoplasty had a success rate of 68.4% in the first postoperative month and 100% during follow-up. All patients showed weight gain, with 15% achieving an adequate weight for their age.  Conclusions: Supraglottoplasty is confirmed as an effective treatment for severe laryngomalacia, as it resolves respiratory symptoms and improves the nutritional status of patients by increasing their weight gain.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Laringomalacia]]></kwd>
<kwd lng="es"><![CDATA[Supraglotoplastia]]></kwd>
<kwd lng="es"><![CDATA[Estridor]]></kwd>
<kwd lng="es"><![CDATA[Reflujo gastroesofágico]]></kwd>
<kwd lng="es"><![CDATA[Lactante]]></kwd>
<kwd lng="en"><![CDATA[Laryngomalacia]]></kwd>
<kwd lng="en"><![CDATA[Supraglottoplasty]]></kwd>
<kwd lng="en"><![CDATA[Stridor]]></kwd>
<kwd lng="en"><![CDATA[Gastroesophageal reflux]]></kwd>
<kwd lng="en"><![CDATA[Infants]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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