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Congenital laryngeal
stridor
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- This is the most common congenital
laryngeal anomaly; characterized by a softness or weakness of the upper airway around the larynx area, around the epiglottis area, and possibly including the epiglottis.
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- Noisy respiratory sounds
- Shortness of breath
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- Embryologic origin of defect is unknown.
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- Based on clinical findings
- Direct laryngoscopy
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- No curative treatment is available,
though it often spontaneously resolves.
- Slow and careful feedings with small
nipple, dropper, or gavage (stomach tube) feedings. The
parents and any caregivers need to understand that the need
for slow and careful feedings will continue for a very long time, as long as the condition persists.
- Nasotracheal intubation or tracheostomy in severe cases
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Aspiration Pneumonia, since
aspirating feedings is a possibility.
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- It may resolve spontaneously by 6-24 months of age.
- Minor abnormalities may persist until
teenage years in some cases, with the continued possibility of aspirating food.
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