The Infant with Stridor: A Follow-up Survey of 80 Cases

Apley, John

doi:10.1136/adc.28.142.423

Cited by 66 publications

(27 citation statements)

References 6 publications

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“…A correlation was suggested between the poor muscular support of the cartilaginous framework of the supraglottis (that leads to anatomical obstruction), and poor neuromuscular control. Other studies have also indicated a strong association between neurological deficits, mental retardation and laryngomalacia [14][15][16]. We noted that choking was the most common post-operative complication in our patient cohort.…”

Section: Discussionmentioning

confidence: 81%

CO2 laser supraglottoplasty for severe laryngomalacia: A study of symptomatic improvement

Lee

Chen

Yang

et al. 2007

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 81%

CO2 laser supraglottoplasty for severe laryngomalacia: A study of symptomatic improvement

Lee

Chen

Yang

et al. 2007

International Journal of Pediatric Otorhinolaryngology

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“…However, Apley (1953) in this journal reviewed 80 cases of infants with stridor and found 16 who were mentally retarded in addition to 3 others who were mongols. Benians et al (1964) in their review of 21 cases also found a high incidence of mental retardation, and cerebral palsy as well.…”

mentioning

confidence: 99%

Outcome in congenital stridor (laryngomalacia).

McSwiney¹,

Cavanagh²,

Languth³

1977

Archives of Disease in Childhood

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SUMMARY Twenty-one children who had been diagnosed as having laryngomalacia by direct laryngoscopy in infancy were reviewed 7 to 12 years later. The natural history of the disease is documented. A wide variation in the time of onset and duration of the stridor was found and there was a high incidence of feeding difficulties. A previously reported association with mental retardation or cerebral palsy is not confirmed. 4 out of the 21 children had early speech problems.

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“…Bei bis zu 60% aller Säuglinge mit Stridor wird eine Laryngomalazie als primä-re Ursache gefunden [2,4,9,27] [1,4]. In etwa 10% der Fälle kann die chronische Obstruktion der Atemwege jedoch zu Apnoen, Behinderung der Nahrungsaufnahme mit Gedeihstörungen, Gewichtsverlust und pulmonaler Belastung führen [6,20].…”

Section: Inzidenz Und Klinikunclassified

Laryngomalazie

Koitschev

Sittel

2012

HNO

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The most common cause of stridor in newborns is instability of the upper larynx, called laryngomalacia. In approximately 10% of children normal development is impaired. The diagnostics and therapy must follow a clear plan that is also comprehensible to the parents. The obstruction should be localized endoscopically, the anatomical characteristics determined, and the surgical possibilities evaluated. Additional pathological changes of the upper airway (e.g., vocal fold paresis) need to be excluded. Surgery for laryngomalacia, called supraglottoplasty, allows reduction of excess mucus, transectioning of aryepiglottic folds that are too short, and in some cases epiglottic fixation to the base of the tongue. In extreme cases tracheotomy is unavoidable. Surgery is only recommended for severe cases; when carried out correctly according to the medical indications, the success rate is over 90%.

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The Infant with Stridor: A Follow-up Survey of 80 Cases

Cited by 66 publications

References 6 publications

CO2 laser supraglottoplasty for severe laryngomalacia: A study of symptomatic improvement

CO2 laser supraglottoplasty for severe laryngomalacia: A study of symptomatic improvement

Outcome in congenital stridor (laryngomalacia).

Laryngomalazie

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