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Chronic pediatric stridor: Etiology and outcome
Author(s) -
Friedman Ellen M.,
Vastola A. Paul,
Mcgill Trevor J. I.,
Healy Gerald B.
Publication year - 1990
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199003000-00013
Subject(s) - stridor , etiology , laryngomalacia , medicine , pediatrics , intervention (counseling) , medical diagnosis , airway obstruction , respiratory sounds , chronic cough , airway , surgery , intensive care medicine , asthma , pathology , psychiatry
Stridor in children is usually acute. This paper represents a chart review and telephone survey of 60 patients with chronic pediatric stridor. The most common etiology was laryngomalacia, which required airway intervention in 22% of the patients. The symptoms persisted beyond 18 months of age in 17% of the patients. Twelve percent of the patients had multiple lesions; 65% of the second lesions were below the vocal cords. It appears that the presence of cyanosis should increase physician suspicion of multiple lesions. There was not a higher risk of recurrent upper respiratory infections with any of the diagnoses.