Laryngeal Anomalies

Anomalies in infants and young children
Respiratory distress is predominant in stenoses, membranes and laryngomalacia, dysphagia, cough and aspiration in fistulas and cleft formations, and dysphonia are predominantly findings in vocal cord paralysis and laryngeal asymmetries.

laryngomalacia
It is a condition that causes stridor by collapse of the laryngeal entrance during inspiration. It is a maturation disorder due to insufficient calcification with soft cartilage structures of the supraglottic larynx skeleton. It is the most common congenital laryngeal anomaly and they constitute 60-75% of all laryngeal anomalies. On examination, the epiglottis is omega-shaped and soft.

What are the symptoms?
-Congenital stridor (continues increasing until the 8th month, plateaus at the 9th month, then gradually improves)

It gets worse during feeding.
Life-threatening respiratory distress is rare.

How is the treatment done?
Up to 2 years of age, the disease resolves spontaneously with larexin maturation.
-Parents should be told detailed information about the disease and they should be told that the baby needs to breathe after 3-4 swallows for feeding.

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