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Prevalence of laryngomalacia in children presenting with sleep-disordered breathing

Mahilravi Thevasagayam1, Kirsty Rodger, Dominic Cave

  • 1Subdivision of Pediatric Otolaryngology, Divisions of Otolaryngology & Pediatric Surgery (Departments of Surgery), The Stollery Children's Hospital and The University of Alberta Hospitals, Edmonton, Alberta, Canada.

The Laryngoscope
|June 23, 2010
PubMed

Insights

The prevalence of laryngomalacia in children with sleep-disordered breathing (SDB) is 3.9%. Full airway evaluation is recommended to identify the cause of SDB symptoms.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Respiratory Physiology

Background:

  • Sleep-disordered breathing (SDB) is a common condition in children.
  • Laryngomalacia, a congenital laryngeal anomaly, can contribute to SDB.
  • Identifying the prevalence of laryngomalacia in SDB patients is crucial for diagnosis and management.

Purpose of the Study:

  • To determine the prevalence of laryngomalacia in children presenting with symptoms of sleep-disordered breathing (SDB).

Main Methods:

  • A retrospective observational study was conducted at a tertiary care pediatric hospital.
  • 358 children with SDB underwent sleep nasopharyngoscopy (SNP).
  • Prevalence of laryngomalacia was calculated based on SNP findings and medical records.

Main Results:

  • The prevalence of laryngomalacia among children with SDB was 3.9% (14 out of 358 patients).
  • Common co-morbidities included obesity, gastroesophageal reflux disease, and syndromic conditions.
  • Half of the affected children experienced infant symptoms like snoring, stridor, or swallowing dysfunction.

Conclusions:

  • Laryngomalacia is present in 3.9% of pediatric SDB cases.
  • Comprehensive airway assessment is essential for diagnosing the underlying cause of SDB.
  • Early identification and management of laryngomalacia can improve SDB outcomes.
Abstract

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