Chronic pediatric stridor: etiology and outcome.
Stridor in children is usually acute. This paper represents a chart review and telephone survey of 60 patients with chronic pediatric stridor. The most common etiology was laryngomalacia, which required airway intervention in 22% of the patients. The symptoms persisted beyond 18 months of age in 17% of the patients. Twelve percent of the patients had multiple lesions; 65% of the second lesions were below the vocal cords. It appears that the presence of cyanosis should increase physician suspicion of multiple lesions. There was not a higher risk of recurrent upper respiratory infections with any of the diagnoses.
Friedman
E M
EM
Department of Otolaryngology, Children's Hospital, Harvard Medical School, Boston, MA 02115.
Vastola
A P
AP
McGill
T J
TJ
Healy
G B
GB
D002675:Child, Preschool; D002908:Chronic Disease; D005500:Follow-Up Studies; D006391:Hemangioma / Q000150:complications; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007818:Laryngeal Diseases / Q000150:complications / Q000151:congenital; D007822:Laryngeal Neoplasms / Q000150:complications; D007829:Laryngostenosis / Q000150:complications / Q000151:congenital; D011379:Prognosis; D011859:Radiography; D012135:Respiratory Sounds / Q000209:etiology*; D012141:Respiratory Tract Infections / Q000150:complications; D012189:Retrospective Studies