Achados clínicos e endoscópicos em crianças com estridor

Neto, José Faibes Lubianca; Fischer, Gilberto Bueno; Peduzzi, Fernanda; Junior, Humberto L.; Krumenauer, Rita Carolina Pozzer; Richter, Vinicius T.

doi:10.1590/s0034-72992002000300004

Cited by 6 publications

(8 citation statements)

References 14 publications

(20 reference statements)

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“…Even though laryngomalacia is the main cause of congenital stridor in childhood 9 , many Otorhinolaryngologists have questioned the clinical and/or surgical treatment of these patients as well as their diagnoses. There are no consensus or very clear parameters in the literature about the exams required for the diagnosis (flexible videonasofibroscopy and/or rigid bronchoscopy) and clinical and/or surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

Management of laryngomalacia: experience with 22 cases

Avelino¹,

Liriano

Fujita

et al. 2005

Brazilian Journal of Otorhinolaryngology

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Laryngomal acia is the most frequent cause of stridor in childhood, and in most of the cases, spontaneous resolution occurs by the age of 2 years. Approximately 10% of the cases (severe laryngomalacia) require surgery. This condition is of unknown etiology and its diagnosis is made by fiberoptic laryngoscopy, which shows shortening of the aryepiglottic folds, and/or redundant arytenoid mucosa, and/or anterior-posterior epiglottic prolapse. Aim: Our objective was to verify the main clinical and anatomical affections and to highlight the clinical parameters for clinical follow-up and surgical indication in patients with laryngomalacia. Study design: Transversal cohort study. Material and Method: Twenty-two children diagnosed with laryngomalacia in the Pediatric Otorhinolaryngology of UNIFESP-EPM, from January 2001 to December 2003, whose clinical and surgical follow-up were performed by the same examiner, were enrolled in this study. Results: Out of twenty-two evaluated children, 2 (9.1%) presented with severe laryngomalacia and pectus excavatum (funnel chest). At polysomnography, no child presented any significant respiratory event during sleeping. Those two children with severe laryngomalacia were submitted to supraglottoplasty with resection of the aryepiglottic folds. Conclusion: We concluded that stridor and shortening of the aryepiglottic folds are preponderant in children with laryngomalacia. The polysomnographic exam did not prove to be a good parameter for clinical follow-up, neither for surgical indication. The most important parameters were pectus excavatum and failure to thrive. Supraglottoplasty is effective and has low morbidity rate.

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Section: Introductionmentioning

confidence: 99%

Management of laryngomalacia: experience with 22 cases

Avelino¹,

Liriano

Fujita

et al. 2005

Brazilian Journal of Otorhinolaryngology

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“…Laryngomalacia is the most common cause of congenital stridor. In a previous study, Lubianca et al 26 showed that laryngomalacia accounted for 40.8% of the cases of stridor assessed through fiberoptic nasolaryngoscopy and for up to 58% of the cases of stridor in subjects under 30 months. In this study, stridor was the most frequently found symptom leading to the diagnosis of laryngomalacia with all patients being examined through nasopharyngolaryngoscopy.…”

Section: Discussionmentioning

confidence: 94%

Laryngomalacia surgery: a series from a tertiary pediatric hospital

Netto

Drummond²,

Oppermann³

et al. 2012

Brazilian Journal of Otorhinolaryngology

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“…Laryngeal malformations are more prevalent in males and manifest within the first months of life 2 , 3 , 6 . The laryngeal involvement seen in the case presented extended from the anterior to the posterior direction, had a round central-posterior lumen, and was accompanied by signs consistent with an uncommon and potentially severe case of laryngeal membrane.…”

Section: Discussionmentioning

confidence: 99%

“…Congenital anomalies rank among the top causes of stridor in neonates and infants. Laryngomalacia stands out as a frequent causing agent, along with less prevalent occurrences of laryngeal membrane, laryngeal atresia and subglottic stenosis 1 , 2 , 3 . Laryngeal membranes are thin translucent formations consequent to failed laryngeal lumen recanalization during embryogenesis 1 , 4 .…”

Section: Introductionmentioning

confidence: 99%