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Related Experiment Video

Updated: Apr 28, 2026

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
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[Management of stridor].

B Thierry1, F Denoyelle1

  • 1Hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|June 14, 2014
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Summary
This summary is machine-generated.

Pediatric stridor, often caused by laryngomalacia, typically resolves within 18 months. Severe cases may require surgery, with non-invasive ventilation as a potential adjunct.

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Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Neonatology

Context:

  • Stridor is a common respiratory symptom in infants.
  • Laryngomalacia is the most frequent cause of pediatric stridor.
  • Most cases of laryngomalacia are benign and self-limiting.

Purpose:

  • To review the etiology, diagnosis, and management of pediatric stridor.
  • To differentiate between mild and severe forms of laryngomalacia.
  • To discuss treatment options, including medical management, surgery, and non-invasive ventilation.

Summary:

  • Pediatric stridor is predominantly caused by laryngomalacia, a condition of unknown origin that usually resolves spontaneously by 18 months of age.
  • Mild laryngomalacia presents with normal growth, no sleep apnea, and no swallowing or neurological issues, often managed with conservative medical treatment.
  • Severe laryngomalacia, accounting for approximately 10% of cases, necessitates airway evaluation under anesthesia and supraglottoplasty, with non-invasive ventilation considered for surgical failures or complex cases.

Impact:

  • Provides a comprehensive overview for clinicians managing infants with stridor.
  • Highlights the importance of distinguishing between mild and severe laryngomalacia for appropriate treatment.
  • Emphasizes the role of advanced interventions like surgery and non-invasive ventilation in refractory or complicated cases.