Laryngomalacia
- Most common cause of stridor in neonates and infants
- Laryngeal finding:
- Inward collapse of aryepiglottic fold (short) into laryngeal inlet during inspiration.
- Epiglottis collapses into laryngeal inlet.
- Symptoms:
- Intermittent inspiratory stridor that improves in prone position.
- Diagnosis:
- History and endoscopy
- Treatment:
- Observation
- Supraglottoplasty
- Epiglottoplasty
- Tracheostomy
during inspiration complete closure
surgery, failure, cyanosis
Laryngomalacia
- Common Cause: Most common cause of congenital airway obstruction and stridor in infancy.
Symptoms
- Stridor in the first weeks of life
- Inspiratory phase
- Worse with crying, feeding, and respiratory tract infection
- Improved in prone position
Diagnosis
- Flexible fibrotic endoscopy
Endoscopic Findings
- Tall, omega-shaped epiglottis
- Inward forward movement of arytenoid mucosa (sucked)
- Short aryepiglottic fold
Treatment
- Mild Cases: Observation ( no cyanosis not effecting the child growth )
- Severe Cases: Supraglottoplasty, tracheostomy
