Laryngomalacia: Difference between revisions
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==Management== | ==Management== | ||
*Mild (mild stridor with no other symptoms): | |||
**Frequent monitoring with PCP to ensure adequate weight gain | |||
*Moderate/severe: | |||
**Referral to ENT | |||
==Disposition== | ==Disposition== | ||
Revision as of 00:54, 15 December 2022
Background
- Common cause of inspiratory stridor (peds) in infants and children
- 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[1]
Clinical Features
- Inspiratory stridor (peds), especially during sleep
- Snoring
- Dysphagia
- Gastroesophageal reflux disease
Differential Diagnosis
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
- ↑ 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.