Successful Mx of an infant with severe laryngomalacia with G
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Abstract :
Laryngomalacia is a common cause of respiratory obstruction with stridor in infants. Although most cases resolve spontaneously, severe laryngomalacia needs surgical intervention. Tracheostomies have been the mainstay of treatment. However, this procedure was associated with high morbidity. At present, newer modalities of treatment are being tried. We discuss successful management of an infant having severe laryngomalacia (who had three failed extubation trials) with glossoepiglottopexy.

Case :
A 4-month-old female child was admitted to Pediatric Intensive Care Unit (ICU) with a history of noisy breathing with feeding difficulties since a month, aggravated by fever, and increased respiratory effort since 2 days. There was no cyanosis or variation in symptoms while crying or change in position. On examination, she weighed four kilograms, was febrile with audible inspiratory stridor. There were intercostal, suprasternal, and subcostal retractions (respiratory rate of 64/min) with pectus excavatum. Auscultation revealed bilateral decreased air entry......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687180/
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Dr. M●●●●●●r D●●●●●●●e
Dr. M●●●●●●r D●●●●●●●e Paediatrics
Nice information about Laryangomalacia
Apr 8, 2017Like