New progress in diagnosis and treatment of congenital laryngomalacia in infants.
10.13201/j.issn.2096-7993.2023.12.011
- Author:
Pingfan LIU
1
;
Zongtong LIN
1
;
Ling SHEN
1
;
Zhongjie YANG
1
Author Information
1. Department of Otolaryngology，Fuzhou Children's Hospital of Fujian Province，Fuzhou，350000，China.
- Publication Type:Journal Article
- Keywords:
electronic nasopharyngoscope;
laryngomalacia;
supraglottic plasty;
treatment
- MeSH:
Infant;
Child;
Humans;
Laryngomalacia/therapy*;
Respiratory Sounds/etiology*;
Larynx/surgery*;
Laryngeal Diseases/surgery*;
Endoscopy/adverse effects*;
Laryngismus
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2023;37(12):982-985
- CountryChina
- Language:Chinese
-
Abstract:
Congenital laryngomalacia is the most common disease causing laryngeal stridor in infants. The pathogenesis has not yet been clearly concluded. It may be related to abnormal development of laryngeal cartilage anatomical structure, neuromuscular dysfunction, gastroesophageal and laryngeal reflux disease, etc. The typical manifestations of the disease are inspiratory laryngeal stridor and feeding difficulties, which can be divided into mild, moderate and severe according to the severity of symptoms. The diagnosis is mainly based on clinical symptoms, signs and endoscopy, among which endoscopy is an important diagnostic basis. The treatment of laryngomalacia depends on the severity of symptoms. Mild and some moderate congenital laryngomalacia children can be relieved by conservative treatment, and severe and some moderate congenital laryngomalacia children should be treated by surgery. Supraglottic plasty is the main surgical method, which can effectively improve the symptoms of laryngeal stridor, dyspnea, feeding difficulties and growth retardation in most children, and the surgical effect is good.
