Laryngomalacia Flashcards
1
Q
What is Laryngomalacia?
A
collapse of supraglottic structures during inspiration
disproportionally small and soft larynx
2
Q
When is Laryngomalacia typically seen in children and what makes it worse (2)?
A
typically beings within FIRST MONTH of life
- worsened by lying on back, feeding or crying
3
Q
What symptoms does Laryngomalacia cause?
A
- noisy breathing/snoring
- “Wet” inspiratory stridor MOST FREQUENT CAUSE OF STRIDOR in children
- hoarseness or aphonia
4
Q
How is Laryngomalacia diagnosed?
A
Flexible fiberoptic laryngoscopy
- see collapse of laryngeal structures during inspiration (ARYTENOID cartilages)
5
Q
How is Laryngomalacia treated?
A
Mainstay: REASSURANCE –> usually resolves by 18 months
- surgery only recommended if severe
6
Q
What is the most prevalent cause of stridor in infants (0-1 yo)?
A
Laryngomalacia
7
Q
What other condition do 60% of children have in addition to Laryngomalacia?
A
Acid Reflux Disease
- edema and irritation by reflux worsens airway collapse
8
Q
What percentage of infants with Laryngomalacia will develop severe symptoms?
A
10-20%
