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Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
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Etiology, Clinical Profile, Evaluation, and Management of Stridor in Children

Sibabratta Patnaik1, Gifty Zacharias2, Mukesh Kumar Jain3

  • 1Department of Pediatrics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, 751024, India. drsbpatnaik45@gmail.com.

Indian Journal of Pediatrics
|March 17, 2021
PubMed

Insights

This study analyzed pediatric stridor causes and management in 67 admitted patients. Foreign body aspiration was the most frequent cause overall, with specific common causes varying by age group.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Pulmonology
  • Emergency Medicine

Background:

  • Pediatric stridor presents a diagnostic challenge due to diverse etiologies.
  • Prompt identification and management are crucial for preventing respiratory compromise.

Purpose of the Study:

  • To investigate the spectrum of pediatric stridor causes.
  • To evaluate the management strategies for pediatric stridor.
  • To analyze outcomes in relation to age and etiology.

Main Methods:

  • Retrospective analysis of 67 pediatric stridor cases (birth to 18 years).
  • Data collected from May 2018 to April 2020.
  • Included patient demographics, clinical presentation, and management details.

Main Results:

  • Foreign body aspiration (FB) was the leading cause (38.8%).
  • Laryngomalacia was common in infants (47.4%), FB in 1-5 year olds (55.9%), and peritonsillar abscess/bacterial tracheitis in 5-18 year olds (21.4% each).
  • Airway securing was primary; 11.9% required tracheostomy, with no mortality.

Conclusions:

  • Pediatric stridor requires multidisciplinary teamwork (ENT, pediatrics, anesthesia).
  • Diagnosis relies on history, clinical, and radiological assessment.
  • Securing the airway is paramount, followed by targeted treatment of the underlying cause.
Abstract

Keywords:
Fiberoptic laryngoscopyLaryngomalaciaStridorTracheostomy

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