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Aetiological profile of paediatric stridor in a Malaysian tertiary hospital

S G Lum1, I Noor Liza2, V Priatharisiny3

  • 1MD (UKM), MS ORL-HNS (UKM) Department of Otorhinolaryngology, Hospital Serdang, Jalan Puchong, 43000 Kajang, Selangor, Malaysia

Malaysian Family Physician : the Official Journal of the Academy of Family Physicians of Malaysia
|May 3, 2017
PubMed

Insights

Laryngomalacia is the most frequent cause of paediatric stridor. Most cases are managed conservatively, but severe symptoms may indicate synchronous airway lesions requiring intervention.

Area of Science:

  • Otorhinolaryngology
  • Paediatric Medicine
  • Respiratory Medicine

Background:

  • Stridor in children can indicate serious conditions, necessitating accurate diagnosis.
  • Evaluation and diagnosis are crucial for timely intervention in paediatric stridor cases.

Purpose of the Study:

  • To investigate the causes (aetiological profiles) of stridor in paediatric patients.
  • To analyze the management strategies for paediatric stridor cases.

Main Methods:

  • Retrospective review of medical records for paediatric patients with stridor (January 2010 - February 2015).
  • Analysis of demographic data, clinical findings, laryngoscopy results, diagnoses, and treatments.

Main Results:

  • 121 paediatric patients with stridor were identified.
  • Congenital causes predominated (90.9%), with laryngomalacia being the most common (78.5%).
  • Most patients received conservative management, with 25.6% requiring surgery and only one needing a tracheostomy.

Conclusions:

  • Laryngomalacia is the leading cause of paediatric stridor.
  • Persistent or severe stridor warrants consideration of synchronous airway lesions.
  • Conservative management is effective for the majority of paediatric stridor cases.
Abstract

Keywords:
Congenital laryngeal anomalylaryngomalaciapaediatricstridorsynchronous airway lesion

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