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DR. HALA SHALABY

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).