Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Poster Presentations: Genetics, Congenital Anomalies

Laryngomalacia: Diagnosis and Management

Abstract

Background: Laryngomalacia is the most common cause of congenital stridor. It usually presents by high pitched inspiratory stridor which is often present at birth and is usually noticed by 2 weeks of age.

Aim: The aim of this study was to assess clinical presentation, management and prognosis of infants and children suffering from laryngomalacia presented to our department in the period of 5 years.

Methods: Retrospective analysis of the medical sheath records of newborns and infants suffering of laryngomalacia were reviewed regarding demographic data, clinical presentation, diagnosis and management.

Results: Fifty eight infant and child were included in the study. They were 33 males (57%) and 25 females (43%). Their age at presentation ranged from 2 - 13 months. Diagnosis was done using laryngoscopy under general anesthesia with spontaneous breathing in 49 patients (85%) and by using flexible nasopharyngolaryngoscopy under topical anesthesia in 9 patients (15%). Conservative treatment was given for all cases in the form of diet modification, lansoprazole and Domperidone. For mild cases, gradual improvement occurred within 1 to 3 months. For severe cases, surgical intervention was planned. Indications for surgical intervention were severe airway obstruction with attacks of cyanosis, feeding difficulties and aspiration, weight loss and failure to thrive.

Conclusion: Laryngomalacia is the most common congenital anomaly of the larynx. It usually presents within 2 weeks after birth. Diagnosis depends on visualization of the larynx during respiration. Conservative treatment is the rule. Surgical treatment is only indicated in 10% of cases

Author information

Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Mandour, Z., Fattah, H. & Gaafar, A. Laryngomalacia: Diagnosis and Management. Pediatr Res 70, 419 (2011). https://doi.org/10.1038/pr.2011.644

Download citation

Search

Quick links