Laryngomalacia: Review and Summary of Current Clinical Practice in 2015

Thorne, Marc C.; Garetz, Susan L.

doi:10.1016/j.prrv.2015.02.002

Cited by 60 publications

(63 citation statements)

References 56 publications

(64 reference statements)

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“…1,2 Angka kejadian laringomalasia di dunia belum pasti, namun diduga mengenai 60-70% bayi dengan stridor kongenital di mana laki-laki dua kali lebih banyak daripada perempuan. 4 Tiga teori dasar yang diduga sebagai dasar terjadi laringamalasia, yaitu teori imaturitas kartilago menyatakan kartilago merupakan struktur laring yang terbentuk secara imatur dan lunak, namun teori ini disanggah melalui temuan histologis pada bayi dengan gejala laringomalasia yang menunjukan kartilago yang normal. Teori kedua bentuk anatomi, menyatakan terdapat jaringan abnormal di daerah laring yang lunak dan menimbulkan stridor, tetapi teori ini disangkal dengan ditemukannya bayi gejala laringomalasia, namun tidak terjadi obstruksi jalan napas.…”

Section: -3unclassified

“…Proses infeksi yang terjadi pada 2 bulan kehidupan akan memengaruhi perkembangan sistem pernapasan termasuk sistem kardiovaskular, demikian pula sebaliknya kelainan neurologis yang terbawa sejak lahir akan memengaruhi perkembangan sistem organ lain. 2,4 Pada penelitian ini 44% subjek penelitian memperlihatkan gambaran RLF, hal ini sesuai dengan pendapat Ayari dkk., 3 Landry dan Thomson, 2 Hartl dan Chadha, 1 dan Nasution dkk.…”

Section: -6unclassified

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Manifestasi Klinis Refluks Laringofaring: Studi pada Anak Usia 0–24 Bulan dengan Laringomalasia

Sudiro¹,

Saputri²,

Madiadipoera³

et al. 2017

mkb

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AbstrakLaringomalasia merupakan kelainan kongenital anomali laring yang banyak ditemukan pada bayi baru lahir dan penyebab tersering stridor serta obstruksi saluran napas. Pemeriksaan laringoskopi serat lentur memperlihatkan terlipat atau terhisapnya struktur supraglotik ke dalam laring selama inspirasi. Obstruksi saluran napas pada laringomalasia akan menyebabkan tekanan negatif intratorakal, menyebabkan asam lambung naik ke jaringan laringofaring dan diduga menimbulkan refluks laringofaring (RLF). Telah dilakukan penelitian dengan pendekatan potong lintang yang bertujuan mengidentifikasi dan menilai hubungan antara laringomalasia dan gambaran refluks laringofaring pada usia 0-24 bulan yang datang ke poliklinik THT-KL RSHS Bandung periode Januari 2012-Maret 2015 berdasar atas data rekam medis dan hasil pemeriksaan laringoskopi serat lentur. Seratus tujuh pasien laringomalasia dengan keluhan stridor mengikuti penelitian ini, 69 laki-laki (64,5%) dan 38 perempuan (35,5%) dengan usia rata-rata 4,19 bulan. Laringomalasia tipe 1 merupakan tipe terbanyak (57,9%). Gambaran RLF yang berhubungan dengan tingkat berat laringomalasia adalah edema plika ventrikularis dengan OR 3,71 (IK 95%=1,07-12,91; p=0,039) dan edema aritenoid dengan OR 4,74 (IK 95%=1,89; p=0,027 Laryngopharyngeal Reflux Manifestation: a Case Study of Laryngomalacia in Children Aged 0-24 Months AbstractLaryngomalacia is the most common laryngeal anomaly of the newborn and the main cause of stridor and airway obstruction in infants. From a flexible laryngoscopy examination, this anomaly is observed as curled or collapsed supraglottic structures into larynx during inspiration. Airway obstruction in laryngomalacia creates a negative intra-thoracal pressure that causes acid reflux to laryngopharynx tissue and is suspected to cause laryngopharyngeal reflux (LPR). A cross-sectional study was conducted with the objectives of identifying and assessing the relationship between laryngomalacia and LPR in patients aged 0-24 months who visited the Ear, Nose, Throat, Head, and

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Section: -3unclassified

Section: -6unclassified

Manifestasi Klinis Refluks Laringofaring: Studi pada Anak Usia 0–24 Bulan dengan Laringomalasia

Sudiro¹,

Saputri²,

Madiadipoera³

et al. 2017

mkb

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“…The diagnosis, treatment, and follow-up processes of laryngomalacia, which is the most frequent cause of stridor in newborns and infants, are important for families and physicians (1)(2)(3). Infants with laryngomalacia mostly present with complaints such as wheezing, feeding problems, and coarse voice.…”

Section: Introductionmentioning

confidence: 99%

“…Infants with laryngomalacia mostly present with complaints such as wheezing, feeding problems, and coarse voice. In a few cases that are not appropriately treated, important problems such as serious growth retardation, recurrent aspiration pneumonia, pulmonary hypertension, and cor pulmonale can occur (1,3).…”

Section: Introductionmentioning

confidence: 99%

“…Although the cause of this collapse may be attributed to the short aryepiglottic folds, anatomical factors such as the structure of the epiglottis, and easily flexible characteristics of immature cartilage tissues, the widely accepted cause currently is the neurological theory (1)(2)(3)(4)(5). It is suggested that decreased laryngeal tonus associated with sensorimotor dysfunction and particularly elevated thresholds of the laryngeal adductor reflex lead to the development of laryngomalacia (2,6,7).…”

Section: Introductionmentioning

confidence: 99%

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Laryngomalacia: Our Clinical Experience

Olgun

Özay

Çakır

et al. 2017

Turk Arch Otorhinolaryngol

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Objective: The aim of this study is to analyse the clinical symptoms, follow-up and treatment properties of the laryngomalacia patients that we encountered between 2009 and 2014. Methods:Records of 81 laryngomalacia patients who were followed up in our clinic between 2009 and 2014 were retrospectively analysed. Patients' gender, age, time of onset of the symptoms, chief complaints, other co-existing congenital laryngeal anomalies and treatment and follow-up properties were evaluated. Results:Of the 81 patients, 48 were male and 33 were female, and the mean age was 4.9 months. The average period of follow-up was 12.1 months. The chief complaints at the time of admission were stridor (100%) and episodic cyanosis with feeding (27.16%). Symptoms of 75 patients were resolved at an average of 8.2 months with conservative treatment. Three patients underwent supraglottoplasty. Tracheotomy and posterior cordotomy was performed for a patient with co-existing vocal cord paralysis. Additional tracheotomy was necessary for a patient with pulmonary co-morbidities and for another with co-existing subglottic stenosis. Conclusion:Laryngomalacia is the most common cause of stridor in infants. The majority of laryngomalacia patients can be managed conservatively by close follow-up. For patients in whom respiratory and feeding problems persist or growth retardation develops, surgical treatment is performed. Tracheotomy may be necessary for a small group of patients with additional diseases.

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