Flexible Laryngoscopy in Management of Congenital Stridor

Saravanam, Prasanna Kumar; Manimaran, Vinoth

doi:10.1007/s12070-017-1217-z

Cited by 8 publications

(3 citation statements)

References 20 publications

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“…[25].In our study, the most common etiology of chronic stridor was found to be subglottic stenosis followed by laryngomalacia. In most previous studies, laryngomalacia has been the most common cause of chronic stridor in children [26][27][28]. However, a survey conducted by Cadd et al in 2005 also described the rising incidence of subglottic stenosis and multiple laryngeal pathologies in children with stridor [29] In our study, we could find only one case out of thirty-five patients of chronic stridor where stridor was due to vocal cord paralysis.…”

Section: Discussioncontrasting

confidence: 47%

Endoscopic Evaluation and Findings in Children With Stridor of More Than One Month Duration

Singh

Mathew

et al. 2022

Preprint

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Background and Aim: One of the most frequent complaints that bring a child to the hospital is noisy breathing which causes a lot of anxiety to the parents. Pediatricians are the first responders to this complaint, and managing such patients can challenge the skills of even of the most astute clinicians. We conducted this study intending to provide a simple algorithm with endoscopy as a primary tool to diagnose patients presenting with stridor of more than one-month duration Methods: Thirty-five patients were consecutively enrolled and given a number (1-35) in the same order. After due consent and proper preparation, endoscopic video evaluation was performed by the experts under sedation who were not part of the study. Results: All thirty-five patients were investigated and managed according to the standard protocol. The most common chief complaint was noisy breathing of more than one-month duration (n=24). We also found a correlation between the time of commencement of stridor and the likely etiology behind the stridor. The most common associate diagnosis was pneumonia with stridor. (n=6). (n=33) (94.28%) patients had abnormal findings at endoscopy out of which (n=17)(48.57%) patients required surgical management, whereas (n=18)(51.42%) patients were managed conservatively. Conclusion: we conclude that endoscopic evaluation should be performed in all patients presenting with chronic stridor to assess the airway and guide further investigations and management. We offer a simple diagnostic algorithm for approaching a child with chronic stridor that will save valuable time dealing with such patients.

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Section: Discussioncontrasting

confidence: 47%

Endoscopic Evaluation and Findings in Children With Stridor of More Than One Month Duration

Singh

Mathew

et al. 2022

Preprint

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“…The role of FFL in the workup of SDB has been limited to incongruence between symptoms and degree of ATH as well to evaluate other symptoms not consistent with obstructive sleep apnoea from ATH, including stridor. There is a dearth of literature on the utility of FFL and the number needed to treat to identify other sources of obstruction in the routine workup of patients with these conditions 4…”

Section: Introductionmentioning

confidence: 99%

Vallecular cyst causing sleep-disordered breathing in an older child

Cooper,

Mitzner,

Gantwerker

2024

BMJ Case Rep

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Consensus-based recommendations are needed to better guide paediatric otolaryngologists in providing standardised care to children with sleep-disordered breathing (SDB). Here we present a unique case of vallecular cyst found during SDB workup in a patient in their middle childhood (6–12 years old). While the patient underwent successful cyst resection, he was noted to have a suspected recurrence 6 months later. Immediately prior to revision excision, repeat awake flexible fibre-optic laryngoscopy revealed complete resolution of the suspected recurrence. This case underscores the significance of performing a complete upper airway examination, including endoscopic examination, to identify structural and anatomical lesions in older children with SDB.

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“…(2) There are various methods available for diagnosis of such cases-radiological, rigid laryngotracheobronchoscopy and fibreoptic laryngoscopy. (3) The approach to such a case and its subsequent management varies from case to case. (4) Treatment strategy for each possible cause varies.…”

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confidence: 99%

Management of Stridor in Paediatric Population- Our Experience

Thakur¹,

Singh²,

Roy³

et al. 2019

jemds

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BACKGROUNDStridor is a common presentation in paediatric ENT OPDs. (1) There can be numerous causes of stridor in this age group-congenital and acquired. (2) There are various methods available for diagnosis of such cases-radiological, rigid laryngotracheobronchoscopy and fibreoptic laryngoscopy. (3) The approach to such a case and its subsequent management varies from case to case. (4) Treatment strategy for each possible cause varies. There are very few case series in Indian population reporting such cases. In our tertiary care centre, we come across many cases with stridor. Their subsequent evaluation leads us to diagnosis. At times, upper airway evaluation is normal. The management then depends on specific aetiology. We are describing our case series comprising 15 patients with various diagnosis and subsequent management. METHODSThis is a case series comprising 15 patients. This is a prospective study carried out at our tertiary care centre. The variety of cases included laryngomalacia, retropharyngeal abscess and subglottic stenosis which were managed as per existing guidelines. RESULTSThe outcomes of our series were quite promising with 93.33 % children successfully decannulated. CONCLUSIONSThe management of a child with stridor is a challenge for the treating team. We should keep in mind that every paediatric case of stridor does not imply an underlying pathology. A systematic approach and keeping all the possible differential diagnoses in mind are the most important steps in achieving optimum results.

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Flexible Laryngoscopy in Management of Congenital Stridor

Cited by 8 publications

References 20 publications

Endoscopic Evaluation and Findings in Children With Stridor of More Than One Month Duration

Endoscopic Evaluation and Findings in Children With Stridor of More Than One Month Duration

Vallecular cyst causing sleep-disordered breathing in an older child

Management of Stridor in Paediatric Population- Our Experience

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