Laryngomalacia

Laryngomalacia is a condition characterized by the underdevelopment and softness of the structures in the larynx (voice box). This underdevelopment causes the tissues around the vocal cords to collapse during breathing, resulting in a respiratory distress called stridor.

Symptoms of laryngomalacia:

• Stridor: A high-pitched, squeaking sound during breathing
• Noisy breathing: Wheezing or whistling sounds during breathing
• Retractions: Inward pulling of the chest muscles during breathing
• Cyanosis: Bluish tint to the skin
• Feeding difficulties: Choking or coughing while feeding
• Failure to thrive: Poor weight gain

Diagnosis of laryngomalacia:

Laryngomalacia is diagnosed in a clinic setting. A flexible endoscope is inserted through the nose to visualize the baby’s larynx and determine if laryngomalacia is present.

Treatment of laryngomalacia:

Laryngomalacia is a condition that often resolves on its own as the baby grows. Therefore, babies with mild laryngomalacia can be monitored without treatment. However, medication or surgery may be necessary for babies with moderate to severe respiratory distress.

Medication: Medications such as bronchodilators and steroids can be used to reduce inflammation and improve breathing.

Surgery: Supraglottoplasty is a surgical procedure that removes excess tissue from the larynx to improve breathing.

Laryngomalacia is a congenital airway disease. Both the follow-up and treatment processes are challenging for both families and physicians. Therefore, it is crucial to be followed and treated by a physician who specializes in airway diseases.