Main treatment of congenital laryngeal stridor

The treatment of congenital laryngeal stridor, particularly in cases of laryngomalacia, is often conservative and aimed at managing symptoms. While many infants with laryngomalacia outgrow the condition as they grow and develop, certain interventions may be considered to alleviate symptoms. The main treatment approaches for congenital laryngeal stridor include:

  1. Observation and Reassurance:
  • In many cases, laryngomalacia is a self-limiting condition that improves as the infant grows and the laryngeal cartilage becomes more rigid.
  • Observation and reassurance from healthcare providers are important, especially when the stridor is not associated with significant respiratory distress or feeding difficulties.
  1. Positioning Techniques:
  • Changing the infant’s positioning during feeding and sleeping may help improve symptoms.
  • Placing the infant in an upright position during and after feeding may reduce the severity of symptoms.
  1. Thickening of Feeds:
  • Thickening feeds with formula or breast milk may help reduce the occurrence of symptoms, particularly during feeding.
  • Consultation with a pediatrician or pediatric gastroenterologist may be necessary to determine the appropriate thickening agent.
  1. Management of Reflux:
  • Gastroesophageal reflux (GER) can contribute to laryngomalacia symptoms. In some cases, management of GER through lifestyle and feeding modifications may be recommended.
  1. Monitoring and Follow-Up:
  • Regular monitoring and follow-up with a healthcare provider, usually a pediatrician or pediatric otolaryngologist (ENT specialist), are essential to assess the infant’s growth, development, and any changes in symptoms.

In severe cases or when symptoms persist and cause significant respiratory distress or feeding difficulties, surgical intervention may be considered. Surgical options for laryngomalacia include:

  1. Supraglottoplasty:
  • Supraglottoplasty is a surgical procedure that involves removing redundant tissue from the supraglottic region, addressing the floppy structures causing the stridor.
  • It is usually considered when conservative measures are insufficient or when there is significant respiratory distress.

The decision to pursue surgical intervention is based on a thorough evaluation by a healthcare provider, including consideration of the severity of symptoms, the impact on the infant’s quality of life, and the potential risks and benefits of surgery.

Parents and caregivers should work closely with their healthcare provider to determine the most appropriate course of action for managing congenital laryngeal stridor in their child.