Congenital Stridor


Authors: M. Bodláková;  M. Jurovčík;  R. Katra;  J. Skřivan
Authors‘ workplace: Klinika ušní, nosní, krční 2. LF UK a FN Motol, Praha
Published in: Otorinolaryng. a Foniat. /Prague/, 68, 2019, No. 1, pp. 30-35.
Category: Original Papers

Overview

Introduction: Congenital stridor is the symptom of many different congenital respiratory diseases with a wide variety of clinical difficulties. Correct and timely diagnostic of the causes of stridor facilitates the recommendation of an adequate therapy. The most common reason for congenital stridor is laryngomalacia.

Objective: The main goal of our research was to evaluate each different clinical unit manifesting by stridor, particularly laryngomalacia, then to document diagnostic procedures and evaluate them relative to procedures used abroad. At the same time alternative options for therapy of stridor were investigated.

Methods: During the time period of 2013- 2015 the files of 272 patients were reviewed. At the serious stridor or in a case of suspected subglottic stenosis laryngotracheal endoscopy in general anesthesia was indicated directly. Depending on the results of endoscopy either second endoscopy check was recommended or surgery.

Results: In 180 patients the laryngomalacia was the reason of a stridor. In a case of 8 patients with laryngomalacia, a tracheostomy was necessary. For 5 patients, a supraglotoplasty was undertaken. Stridor was also diagnosed in a case of 21 patients with tracheomalacia, 13 patients with laryngotracheomalacia, 26 patients with a subglottic stenosis, 8 patients with a choanal stenosis, 3 patients with a laryngeal web, 5 patients with a laryngeal hemangioma, 7 patients with a recurrent laryngeal nerv paralysis, 5 patients with a laryngotracheal cleft, 4 patients with a laryngeal cyst and 1 patient with an agenesis of epiglottis.

Keywords:

congenital stridor – endoscopy – laryngomalacia


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Audiology Paediatric ENT ENT (Otorhinolaryngology)
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