Laryngomalacia : Disease Presentation, Spectrum, and Management
Joint Authors
Landry, April M.
Thompson, Dana M.
Source
International Journal of Pediatrics
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-27
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Laryngomalacia is the most common cause of stridor in newborns, affecting 45–75% of all infants with congenital stridor.
The spectrum of disease presentation, progression, and outcomes is varied.
Identifying symptoms and patient factors that influence disease severity helps predict outcomes.
Findings.
Infants with stridor who do not have significant feeding-related symptoms can be managed expectantly without intervention.
Infants with stridor and feeding-related symptoms benefit from acid suppression treatment.
Those with additional symptoms of aspiration, failure to thrive, and consequences of airway obstruction and hypoxia require surgical intervention.
The presence of an additional level of airway obstruction worsens symptoms and has a 4.5x risk of requiring surgical intervention, usually supraglottoplasty.
The presence of medical comorbidities predicts worse symptoms.
Summary.
Most with laryngomalacia will have mild-to-moderate symptoms and not require surgical intervention.
Those with gastroesophageal reflux and/or laryngopharyngeal reflux have symptom improvement from acid suppression therapy.
Those with severe enough disease to require supraglottoplasty will have minimal complications and good outcomes if multiple medical comorbidities are not present.
Identifying patient factors that influence disease severity is an important aspect of care provided to infants with laryngomalacia.
American Psychological Association (APA)
Landry, April M.& Thompson, Dana M.. 2012. Laryngomalacia : Disease Presentation, Spectrum, and Management. International Journal of Pediatrics،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-496057
Modern Language Association (MLA)
Landry, April M.& Thompson, Dana M.. Laryngomalacia : Disease Presentation, Spectrum, and Management. International Journal of Pediatrics No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-496057
American Medical Association (AMA)
Landry, April M.& Thompson, Dana M.. Laryngomalacia : Disease Presentation, Spectrum, and Management. International Journal of Pediatrics. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-496057
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-496057