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Stridor in asian infants: assessment and treatment

Wong Birgitta Yee-Hang1, Hui Theresa, Lee So-Lun

  • 1Division of Otorhinolaryngology-Head and Neck Surgery, Department of Surgery, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong.

ISRN Otolaryngology
|June 1, 2013
PubMed

Insights

Stridor in infants, a sign of upper airway obstruction, has diverse causes. This study reviews diagnostic and treatment approaches for infant stridor at a tertiary center.

Area of Science:

  • Pediatric Otolaryngology
  • Neonatal Respiratory Medicine
  • Airway Management

Background:

  • Stridor is a primary symptom of upper airway obstruction in infants, presenting acutely or chronically, congenitally or acquired.
  • Pathologies range from the nasal passages to the trachea, encompassing conditions like laryngomalacia, vocal cord palsy, subglottic stenosis, and vascular malformations.
  • Accurate diagnosis and timely intervention are crucial for successful management.

Purpose of the Study:

  • To outline the diagnostic and treatment strategies for infant stridor at a tertiary care center.
  • To review the causes of stridor in infants undergoing rigid laryngotracheobronchoscopy.
  • To discuss management protocols for various pediatric airway conditions.

Main Methods:

  • Retrospective review of infants with stridor undergoing rigid laryngotracheobronchoscopy (2005-2011).
  • Assessment utilizing flexible and rigid endoscopy.
  • Analysis of treatment outcomes for diverse etiologies.

Main Results:

  • Identification of common causes of infant stridor, including congenital and acquired conditions.
  • Evaluation of the efficacy of endoscopic assessment in diagnosis.
  • Discussion of tailored treatment approaches based on specific pathologies.

Conclusions:

  • Effective management of infant stridor necessitates a multidisciplinary approach involving ENT surgeons, pediatricians, and anesthesiologists.
  • Early diagnosis and intervention are key to improving outcomes for neonates with airway obstruction.
  • A structured diagnostic and treatment pathway is essential in a tertiary care setting.

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