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Updated: Jul 14, 2026
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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
[Is stridor a banal symptom in infants?]
A Parente Hernández1, M A García-Casillas, J A Matute
1Servicio Cirugía Pediátrica, Hospital Materno-Infantil Gregorio Marañón, Madrid, España. parente80@hotmail.com
Anales De Pediatria (Barcelona, Spain : 2003)
|June 23, 2007
Summary
Fiberoptic bronchoscopy is crucial for diagnosing infant stridor, frequently revealing anomalies needing surgery. Early diagnosis and treatment are vital, as some causes can be life-threatening.
Area of Science:
- Pediatric Pulmonology
- Otolaryngology
- Neonatology
Context:
- Infantile stridor is a common respiratory symptom requiring accurate diagnosis.
- Identifying underlying anatomical or functional anomalies is critical for effective management.
- Referrals for stridor evaluation originate from various clinical settings, including intensive care units and outpatient clinics.
Purpose:
- To analyze the diverse causes of stridor in infants.
- To evaluate the effectiveness of fiberoptic bronchoscopy in diagnosing stridor etiologies.
- To assess treatment outcomes and identify factors influencing prognosis.
Summary:
- Fiberoptic bronchoscopy diagnosed various conditions in 90 infants with stridor, including subglottic stenosis (21), tracheobronchomalacia (20), and laryngomalacia (20).
- Over half of the patients (51.1%) required surgery for functional or anatomical disorders, with some needing reoperation.
- Outcomes were generally good (83.4%), but mortality occurred in 7.8% of cases, often due to associated conditions.
Impact:
- Highlights the importance of fiberoptic bronchoscopy in identifying treatable causes of infant stridor.
- Emphasizes that stridor severity may not correlate with lesion severity, necessitating thorough investigation.
- Underscores the potential for life-threatening conditions associated with infant stridor, mandating prompt and accurate diagnosis.
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