View source for Laryngomalacia

==Background==
*Common cause of inspiratory [[stridor (peds)|stridor]] in infants and children
*Characterized by collapse of supraglottic tissue during inspiration
**Differs from [[tracheomalacia]] in that this pathology involves soft tissue rather than tracheal cartilage
*Etiology not well-known, possible mechanisms include redundant neck tissue, neurologic causes
*Typically presents as early as 2 years of life, resolves by 2 years of age<ref>Shah UK, Wetmore RF. Laryngomalacia: a proposed classification form. Int J Pediatr Otorhinolaryngol. 1998 Nov 15;46(1-2):21-6. doi: 10.1016/s0165-5876(98)00111-6. PMID: 10190701.</ref>

==Clinical Features==
[[File:Laryngomalacia.jpg|thumb|Omega shaped epiglottis, seen in laryngomalacia.]]
[[File:PMC4046316 fped-02-00051-g004.png|thumb|Left, severe laryngomalacia with epiglottic collapse with inspiration; Right, tight aryepiglottic folds and redundant arytenoid mucosa with inspiration.]]
*Inspiratory [[stridor (peds)]], especially during sleep
*Snoring
*[[Dysphagia]]
*[[Gastroesophageal reflux disease]]

==Differential Diagnosis==
{{Pediatric stridor DDX}}

==Evaluation==

===Diagnosis===
*Confirmed with fiberoptic laryngoscopy by pediatric ENT
*Should also evaluate for other associated anomalies (e.g., esophageal atresia)

==Management==
*Mild (mild stridor with no other symptoms): 
**Frequent monitoring with PCP to ensure adequate weight gain
*Moderate/severe: 
**Referral to ENT

==Disposition==


==See Also==


==External Links==


==References==
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