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ISRN Otolaryngol. 2012 Feb 19;2012:915910. doi: 10.5402/2012/915910. Print 2012.

Stridor in asian infants: assessment and treatment.

ISRN otolaryngology

Wong Birgitta Yee-Hang, Hui Theresa, Lee So-Lun, Ho Wai-Kuen, Wei William Ignace

Affiliations

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

PMID: 23724274 PMCID: PMC3658542 DOI: 10.5402/2012/915910

Abstract

Stridor is the main symptom of upper airway obstruction in infants. It can be congenital or acquired, acute or chronic. Pathologies can be located from the nose down to the trachea. Common causes include laryngomalacia, vocal cord palsy, subglottic stenosis, tracheal anomaly, laryngeal cleft, vascular and lymphatic malformation, laryngeal papillomas, craniofacial abnormalities and even head and neck tumours. In this paper, we will discuss our approach to infants with stridor including assessment with flexible and rigid endoscopy and treatments to various conditions in a tertiary centre. Causes of stridor in infants undergoing rigid laryngotracheobronchoscopy in Queen Mary Hospital, University of Hong Kong Medical Centre between 2005 and 2011 will be retrospectively reviewed. Treatments according to various conditions will be discussed. Successful management of these neonates requires accurate diagnosis, early intervention, and multidisciplinary care by ENT surgeons, paediatricians, and paediatric anaesthetists.

References

  1. J Pediatr Surg. 2007 Oct;42(10):1764-7 - PubMed
  2. Int J Pediatr Otorhinolaryngol. 2006 Dec;70(12):2073-9 - PubMed
  3. Int J Pediatr Otorhinolaryngol. 2010 Mar;74(3):287-91 - PubMed
  4. Pediatr Surg Int. 2006 Aug;22(8):627-34 - PubMed
  5. Int J Pediatr Otorhinolaryngol. 2009 Dec;73(12):1821-3 - PubMed
  6. Otolaryngol Head Neck Surg. 2011 Feb;144(2):268-73 - PubMed
  7. Paediatr Respir Rev. 2006;7 Suppl 1:S260-3 - PubMed
  8. Paediatr Respir Rev. 2004 Mar;5(1):17-24 - PubMed
  9. Laryngoscope. 2009 Sep;119(9):1797-802 - PubMed
  10. N Engl J Med. 2008 Jun 12;358(24):2649-51 - PubMed
  11. Eur J Pediatr. 2010 Feb;169(2):135-41 - PubMed
  12. Arch Otolaryngol Head Neck Surg. 2010 Jan;136(1):70-4 - PubMed
  13. Int J Pediatr Otorhinolaryngol. 2009 Aug;73(8):1168-72 - PubMed

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