Laryngomalacia Follow-up

Updated: Feb 12, 2019
  • Author: Stephanie Lovinsky-Desir, MD, MS; Chief Editor: Denise Serebrisky, MD  more...
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Follow-up

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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