DR. HALA SHALABY
Pediatrician & Neonatologist in Riyadh Care Hospital, Saudi Arabia
Title: Laryngomalacia in neonates
Dr. Hala Shalaby has completed her Medical college from Zagazig university in Egypt, at 1989, then got DCH from the same university at 1996, and finally passed MRCPCH. She also had a membership in the Royal college of pediatric and childhood in London-England, on 2015. She is a senior registrar of pediatric and neonates in Riyadh Care Hospital in Riyadh-Saudi Arabia and have been working there for 15 years. During which, she presented many lectures there. Last year, she has published a scientific article about breast feeding in the journal of 5th International Conference on pediatric Nursing & Health in Cologne- Germany. She published another article on” Neonatal ovarian cysts/case presentation” at the “2nd World Congress on Midwifery and Neonatal Nursing”, that was held during August-2017 in Philadelphia, USA.
OBJECTIVES: Discuss the eiliology, diagnosis, and management of laryngomalacia in in neonates with a spotlight on alarming symptoms and signs.
BACKGROUND: Laryngomalacia is the most common cause of congenital stridor and is the most common congenital lesion of the larynx. It is a dynamic lesion resulting in collapse of the supraglottic structures during inspiration, leading to airway obstruction.
EITIOLOGY: It is a congenital abnormality of the laryngeal cartilage. It is thought to represent a delay of maturation of the supporting structures of the larynx. Laryngomalacia may affect the epiglottis, the arytenoid cartilages, or both.
DAIGNOSIS: Laryngomalacia results in partial airway obstruction, most commonly causing
a characteristic high-pitched squaking noise on inhalation (inspiratory stridor)
-flexible laryngoscopymay recommend for further evaluation
ASSOCIATIONS: Gastrocesphageal reflux
TREATMENT: Time is the only treatment necessary in more than 90% of infant cases. In other cases, surgery may be necessary (supraglottoplasy).