“…30,32 Patients are often misdiagnosed as having asthma, laryngotracheobronchitis, foreign body aspiration or laryngomalacia. 3 In developing countries, as a result of the poor availability of healthcare services in general and ENT services in particular, [42][43][44] patients frequently present with upper airway obstruction and a history of hoarseness for many years. 3,4,30,40,41,[45][46][47][48][49][50][51] In a South African study, all patients diagnosed in the private sector had only hoarseness on initial presentation, while 70.1% of patients diagnosed in the public sector also presented with stridor, with 51.9% being in respiratory distress.…”