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[Etiology of inspiratory laryngeal stridor in children]

Lan Li1, Zhi-xiong Xian, Yue-jie Zheng

  • 1Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China. drlil@163.com

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery
|June 30, 2009
PubMed

Insights

The causes of inspiratory laryngeal stridor in children are complex, with acute laryngitis and laryngomalacia being most common. Video laryngoscopy aids diagnosis in most cases, improving treatment outcomes.

Area of Science:

  • Pediatric Pulmonology
  • Otolaryngology

Context:

  • Inspiratory laryngeal stridor is a common presenting symptom in pediatric patients.
  • Accurate diagnosis is crucial for effective management and improved patient outcomes.

Purpose:

  • To retrospectively analyze the various etiologies of inspiratory laryngeal stridor in children.
  • To enhance the diagnostic and therapeutic success rates for this condition.

Summary:

  • A retrospective analysis of 378 children with inspiratory laryngeal stridor revealed diverse causes, including acute laryngitis (140 cases) and laryngomalacia (117 cases).
  • Diagnostic tools such as chest X-ray, CT scans, video laryngoscopy, and bronchofibroscopy were utilized.
  • Most cases were successfully treated, with exceptions including congenital tracheomalacia and laryngeal papilloma.

Impact:

  • Highlights the complexity of pediatric inspiratory laryngeal stridor etiology.
  • Recommends video laryngoscopy as a primary diagnostic tool for non-inflammatory conditions.
  • Suggests the judicious use of CT scans and bronchofibroscopy for complex cases.
Abstract

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