Case history
Case history #1
A 3-month-old boy is referred by his paediatrician with intermittent inspiratory stridor and progressive feeding difficulties resulting in failure to thrive. The stridor has been present since he was 1 week old. His parents report that his noisy breathing is present more frequently and is particularly prominent when he is lying down, feeding, or crying. He has difficulty feeding and chokes frequently but has a normal cry. His mother reports that he feeds slowly and often has to stop several times during the feed to 'gasp for breath'. He has recently been diagnosed with GORD.
Case history #2
A 6-week-old boy presents to the emergency department with inspiratory stridor, present since a few days after birth. The stridor is loud with associated mild suprasternal indrawing (tracheal tug). Otherwise, the infant is resting comfortably and is thriving (he is on the 75ᵗʰ centile for weight since birth).
Other presentations
Laryngomalacia (LM) is often detected in patients with concurrent neurological conditions or syndromes.[7][8] Children with reduced tone of the larynx due to underlying neurological pathology often present with concurrent LM. These patients can be more difficult to treat due to their underlying hypotonia. A late-onset variant has also been described that gives feeding problems in toddlers, sleep apnoea in children, and intolerance of exercise in teenagers.[9]
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