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Common causes of congenital stridor in infants

Christine M Clark1, Kathryn Kugler, Michele M Carr

  • 1At Penn State's Milton S. Hershey Medical Center in Hershey, Pa., Kathryn Kugler practices in the Division of Otolaryngology. Christine M. Clark is a medical resident at Georgetown University in Washington, D.C. Michele M. Carr is a professor in the Department of Otolaryngology at West Virginia University in Morgantown, W. Va. The authors have disclosed no potential conflicts of interest, financial or otherwise.

JAAPA : Official Journal of the American Academy of Physician Assistants
|October 26, 2018
PubMed

Insights

Stridor, a sound of upper airway obstruction in infants, requires prompt diagnosis. This review covers common congenital causes, diagnostic methods, and management for infants with stridor.

Area of Science:

  • Pediatrics
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Stridor indicates upper airway obstruction, necessitating urgent evaluation.
  • Causes range from benign to life-threatening, requiring a broad differential diagnosis.
  • A team-based approach is essential for managing stridor effectively.

Purpose of the Study:

  • To review common causes of chronic congenital stridor in infants.
  • To focus on diagnostic approaches, pathophysiology, and clinical presentation.
  • To outline current management strategies for infantile stridor.

Main Methods:

  • Literature review of congenital stridor in infants.
  • Analysis of diagnostic pathways for upper airway obstruction.
  • Synthesis of information on pathophysiology and clinical manifestations.

Main Results:

  • Identified common congenital causes of stridor.
  • Detailed the diagnostic workup for stridor.
  • Summarized key aspects of pathophysiology and clinical presentation.

Conclusions:

  • Early recognition and diagnosis of stridor are critical in infants.
  • Understanding the pathophysiology aids in effective management.
  • A comprehensive, interdisciplinary approach improves outcomes for infants with stridor.

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