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- A minimal amount of edema or inflammation in the pediatric airway can result in significant obstruction
- Can lead to rapid decompensation
<6mo
- Laryngotracheomalacia
- Accounts for 60%
- Usually exacerbated by viral URI
- Dx w/ flexible fiberoptic laryngoscopy
- Vocal cord paralysis
- Stridor associated w/ feeding problems, hoarse voice, weak and/or changing cry
- May have cyanosis or apnea if bilateral (less common)
- Subglottic stenosis
- Congenital vs 2/2 prolonged intubation in premies
- Airway hemangioma
- Usually regresses by age 5
- Associated w/ skin hemangiomas in beard distribution
- Vascular ring/sling
>6mo