Congenital stridor. Diagnostic algorithm
https://doi.org/10.24884/1607-4181-2026-33-1-148-152
Abstract
This article presents the algorithm of actions for a doctor when dealing with congenital stridor in an infant, based on a clinical case. Stridor in newborns and infants under one year of age is a symptom most often associated with congenital abnormalities of the upper respiratory tract. The most common cause of this condition is laryngomalacia, which accounts for 45 % to 75 % of all cases of congenital stridor. The presented clinical case highlights the importance of early diagnosis of laryngomalacia and the necessity of timely treatment to improve the prognosis for this pathology.
About the Authors
M. L. Zakharova
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Zakharova Maria L., Dr. of Sci. (Med.), Professor of the Department of Otorhinolaryngology
2, Litovskaya str., Saint Petersburg, 194100
Competing Interests:
Author declares no conflict of interest.
Sh. A. Karapetian
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Karapetian Shagane A., Assistant of the Department of Otorhinolaryngology
2, Litovskaya str., Saint Petersburg, 194100
Competing Interests:
Author declares no conflict of interest.
Z. M. Orusmurzaeva
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Orusmurzaeva Zulai M., Otorhinolaryngologist
2, Litovskaya str., Saint Petersburg, 194100
Competing Interests:
Author declares no conflict of interest.
P. I. Maslei
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Maslei Polina I., Postgraduate Student of the Department of Otorhinolaryngology
2, Litovskaya str., Saint Petersburg, 194100
Competing Interests:
Author declares no conflict of interest.
K. A. Zavyalova
Saint-Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Zavyalova Karina A., 6th year Student
2, Litovskaya str., Saint Petersburg, 194100
Competing Interests:
Author declares no conflict of interest.
References
1. Thorne M. C., Garetz S. L. Laryngomalacia: Review and Summary of Current Clinical Practice in 2015 // Paediatr Respir Rev. 2016;17:3–8. https://doi.org/10.1016/j.prrv.2015.02.002. PMID: 25802018.
2. Daniel M., Cheng A. Neonatal stridor // Int J Pediatr. 2012;2012:859104. https://doi.org/10.1155/2012/859104. PMID: 22235209; PMCID: PMC3253469.
3. Landry A. M., Thompson D. M. Laryngomalacia: disease presentation, spectrum, and management // Int J Pediatr. 2012;2012:753526. https://doi.org/10.1155/2012/753526. PMID: 22518182; PMCID: PMC3299329.
4. Zakharova M. L., Gorkina O. K., Breusenko D. V. et al. Surgical treatment of laryngology // Russian otorhinolaryngology. 2024;23(5(132)):33–41. (In Russ.). https://doi.org/10.18692/1810-4800-2024-5-33-41 - EDN MLVHI.
5. Bredun S., Kotowski M., Mezydlo J., Szydlowski J. Characteristics of Patients with Laryngomalacia: A Tertiary Referral Center Experience of 106 Cases // Diagnostics (Basel). 2023;13(20):3180. https://doi.org/10.3390/diagnostics13203180. PMID: 37892001; PMCID: PMC10605856.
6. Zakharova M. L., Pavlov P. V. Congenital malformations of the larynx in children // Russian otorhinolaryngology. 2017;1(86):31–35. EDN YHHQWD. (In Russ.).
7. Isaac A., Zhang H., Soon S. R. et al. A systematic review of the evidence on spontaneous resolution of laryngomalacia and its symptoms // Int J Pediatr Otorhinolaryngol. 2016;83:78–83. https://doi.org/10.1016/j.ijporl.2016.01.028. PMID: 26968058.
8. Subbotina M. V., Pykov M. I. Diagnosis of the causes of stridor in young children using ultrasound scanning // Pediatrician’s practice. 2024;(3):37–41. EDN ZSEVBG. (In Russ.).
9. Mnatsakanian A., John J., Costeloe A. et al. Post-operative safety of pediatric supraglottoplasty: Is post-operative admission necessary? // Am J Otolaryngol. 2024;45(2):104171. https://doi.org/10.1016/j.amjoto.2023.104171. PMID: 38101128.
Review
For citations:
Zakharova M.L., Karapetian Sh.A., Orusmurzaeva Z.M., Maslei P.I., Zavyalova K.A. Congenital stridor. Diagnostic algorithm. The Scientific Notes of the Pavlov University. 2026;33(1):148-152. (In Russ.) https://doi.org/10.24884/1607-4181-2026-33-1-148-152
Views:
77
JATS XML
Email this article 