Title of article :
Congenital laryngeal anomalies presenting as chronic stridor: A retrospective study of 55 patients
Author/Authors :
Koichi Sakakura، نويسنده , , Kazuaki Chikamatsu، نويسنده , , Minoru Toyoda، نويسنده , , Megumi Kaai، نويسنده , , Yoshihito Yasuoka، نويسنده , , Nobuhiko Furuya، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2008
Pages :
7
From page :
527
To page :
533
Abstract :
Objectives Congenital laryngeal anomalies are less frequent, but their causes are surprisingly variable. In addition, a variety of synchronous airway lesions as well as comorbidities are accompanied. The objective of this study was to review of patients with congenital laryngeal anomalies presenting as chronic stridor in our experiences. Methods Fifty-five patients, 30 male (54.5%) and 25 female (45.4%), were enrolled in this study, and their hospital records were retrospectively reviewed. Results The most frequent diagnosis was laryngomalacia (36.4%), followed by subglottic stenosis (30.9%) and vocal cord paralysis (29.1%). Twenty-six (47.3%) of the 55 patients had synchronous airway lesions, whereas thirty-one (56.4%) had various comorbidities. Further analysis was performed in patients diagnosed with laryngomalacia, subglottic stenosis, or vocal cord paralysis, which are major causes of congenital laryngeal stridor. The frequency of synchronous airway lesions was not different significantly in these three groups. On the other hand, the frequency of establishment of airway in patients with laryngomalacia was significantly lower compared to those with subglottic stenosis or vocal cord paralysis. Moreover, median duration of the symptoms and the proportion of patients with poor outcome and decease in laryngomalacia were shorter and lower than that in subglottic stenosis or vocal cord paralysis. Conclusions While a variety of congenital airway anomalies were causes of chronic stridor, laryngomalacia was the most frequent diagnosis. Severe condition and progression of symptoms should increase suspicion of the synchronous airway lesions and/or comorbidities, which may be important factors for outcome as well as indication of surgical intervention.
Keywords :
Congenital laryngeal anomalies , Chronic stridor , Synchronous airway lesions , outcome , comorbidity
Journal title :
Auris Nasus Larynx
Serial Year :
2008
Journal title :
Auris Nasus Larynx
Record number :
568089
Link To Document :
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