Congenital laryngomalacia: Disease spectrum and management

April Landry, Dana M Thompson*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Laryngomalacia is the most common laryngeal anomaly, affecting 45-75 % of infants with congenital stridor. Laryngomalacia is due to the dynamic prolapse of supraglottic tissues into the airway during inspiration. Prolapse of supraglottic tissues produces a variable amount of airway obstruction and inspiratory stridor. A majority of infants have mild disease and are managed expectantly. Those with moderate and severe disease are managed with gastroesophageal reflux therapy, feeding modifications, and surgical intervention. Surgical intervention is required in 20 % of infants. Supraglottoplasty is the mainstay of surgical treatment; tracheostomy is rarely needed.

Original languageEnglish (US)
Title of host publicationDisorders of the Neonatal Airway
Subtitle of host publicationFundamentals for Practice
PublisherSpringer New York
Pages51-57
Number of pages7
ISBN (Electronic)9781493916108
ISBN (Print)9781493916092
DOIs
StatePublished - Jan 1 2015

Keywords

  • Gastroesophageal reflux disease
  • Laryngeal adductor reflex
  • Laryngomalacia
  • Stridor
  • Supraglottoplasty

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Landry, A., & Thompson, D. M. (2015). Congenital laryngomalacia: Disease spectrum and management. In Disorders of the Neonatal Airway: Fundamentals for Practice (pp. 51-57). Springer New York. https://doi.org/10.1007/978-1-4939-1610-8_6