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Laryngomalacia Follow-up

  • Author: Stephanie Lovinsky-Desir, MD; Chief Editor: Denise Serebrisky, MD  more...
 
Updated: Jun 18, 2015
 

Further Outpatient Care

Unless supplemental oxygen is required for oxygen saturation less than 90%, no home therapy is necessary.

The usual well-child visits should be performed.

Immunizations should not be delayed because of airway noise.

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Further Inpatient Care

No inpatient care is necessary in patients with laryngomalacia unless the baby has clinically significant hypoxemia or apnea.

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Inpatient & Outpatient Medications

No medications are necessary.

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Deterrence/Prevention

Laryngomalacia is not a preventable lesion and does not appear to run in families.

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Complications

Poor oxygenation that requires supplemental oxygen

Alveolar hypoventilation that requires surgery or positive pressure ventilation

Apnea

Increased likelihood of gastroesophageal reflux

Pulmonary hypertension

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Prognosis

Prognosis is excellent. Most babies outgrow the condition by their second birthday, many by the first. In some cases, even though the signs and symptoms dissipate, the pathology persists. Such patients may have stridor with exercise later in life.

Laryngomalacia may be more common in children with Down syndrome, in whom it may persist beyond the second birthday.

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Contributor Information and Disclosures
Author

Stephanie Lovinsky-Desir, MD Assistant Professor in Pediatric Pulmonology, Morgan Stanley Children’s Hospital of New York-Presbyterian, Columbia University College of Physicians and Surgeons

Stephanie Lovinsky-Desir, MD is a member of the following medical societies: American Academy of Pediatrics, American Thoracic Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Charles Callahan, DO Professor, Chief, Department of Pediatrics and Pediatric Pulmonology, Tripler Army Medical Center

Charles Callahan, DO is a member of the following medical societies: American Academy of Pediatrics, American College of Chest Physicians, American College of Osteopathic Pediatricians, American Thoracic Society, Association of Military Surgeons of the US, Christian Medical and Dental Associations

Disclosure: Nothing to disclose.

Chief Editor

Denise Serebrisky, MD Associate Professor, Department of Pediatrics, Albert Einstein College of Medicine; Director, Division of Pulmonary Medicine, Lewis M Fraad Department of Pediatrics, Jacobi Medical Center/North Central Bronx Hospital; Director, Jacobi Asthma and Allergy Center for Children, Jacobi Medical Center

Denise Serebrisky, MD is a member of the following medical societies: American Thoracic Society

Disclosure: Nothing to disclose.

Additional Contributors

Michael R Bye, MD Professor of Clinical Pediatrics, State University of New York at Buffalo School of Medicine; Attending Physician, Pediatric Pulmonary Division, Women's and Children's Hospital of Buffalo

Michael R Bye, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Chest Physicians, American Thoracic Society

Disclosure: Nothing to disclose.

References
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Laryngomalacia: The epiglottis is small and curled on itself (omega-shaped). Approximation of the posterior edges of the epiglottis contributes to the inspiratory obstruction. (From B Benjamin, Atlas of Paediatric Endoscopy, Oxford University Press, NY, 1981, with permission.)
 
 
 
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