DR. HALA SHALABY
Pediatrician & Neonatologist in Riyadh Care Hospital, Saudi Arabia
Title: Laryngomalacia in neonates
Biography
Biography: DR. HALA SHALABY
Abstract
OBJECTIVES: Discuss the eiliology, diagnosis, and management of laryngomalacia in in neonates with a spotlight on alarming symptoms and signs.
BACKGROUND: Laryngomalacia is the most common cause of congenital stridor and is the most common congenital lesion of the larynx. It is a dynamic lesion resulting in collapse of the supraglottic structures during inspiration, leading to airway obstruction.
EITIOLOGY: It is a congenital abnormality of the laryngeal cartilage. It is thought to represent a delay of maturation of the supporting structures of the larynx. Laryngomalacia may affect the epiglottis, the arytenoid cartilages, or both.
DAIGNOSIS: Laryngomalacia results in partial airway obstruction, most commonly causing
a characteristic high-pitched squaking noise on inhalation (inspiratory stridor)
-flexible laryngoscopymay recommend for further evaluation
ASSOCIATIONS: Gastrocesphageal reflux
TREATMENT: Time is the only treatment necessary in more than 90% of infant cases. In other cases, surgery may be necessary (supraglottoplasy).