Stridor in the neonate and infant. Implications for the paediatric anaesthetist. Prospective description of 155 patients with congenital and acquired stridor in early infancy

One hundred‐and‐fifty‐five neonates and infants up to the sixth month of postnatal age were investigated to reveal the cause of clinically relevant stridor. In 100 patients congenital stridor was found, in 55 children the stridor was considered to be acquired. A curled, soft epiglottis, almost synon...

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Bibliographic Details
Published in:Pediatric anesthesia 1998-05, Vol.8 (3), p.221-227
Main Authors: HOLZKI, JOSEF, LASCHAT, MICHAEL, STRATMANN, CORNELIA
Format: Article
Language:English
Subjects:
acquired
Airway Obstruction - congenital
Airway Obstruction - etiology
Airway Obstruction - physiopathology
Anesthesia, Inhalation
Anesthetics, Inhalation - administration & dosage
Arytenoid Cartilage - abnormalities
Arytenoid Cartilage - pathology
Biological and medical sciences
Bronchial Diseases - complications
Bronchoscopy
congenital
Constriction, Pathologic - complications
Epiglottis - abnormalities
Equipment Design
Esophageal Atresia - complications
Female
Glottis - abnormalities
Glottis - pathology
Halothane - administration & dosage
Humans
Infant
Infant, Newborn
Infant, Premature
Intubation, Intratracheal - adverse effects
Intubation, Intratracheal - instrumentation
Laryngeal Diseases - complications
Laryngostenosis - congenital
Larynx - injuries
Male
Medical sciences
newborn and infant
Non tumoral diseases
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Prospective Studies
Respiratory Sounds - etiology
Respiratory Sounds - physiopathology
stridor
Surface Properties
Trachea - injuries
Tracheal Diseases - complications
Tracheoesophageal Fistula - complications
Vocal Cords - pathology
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Summary:One hundred‐and‐fifty‐five neonates and infants up to the sixth month of postnatal age were investigated to reveal the cause of clinically relevant stridor. In 100 patients congenital stridor was found, in 55 children the stridor was considered to be acquired. A curled, soft epiglottis, almost synonymously used with the diagnosis of congenital stridor, was found in 7% only, indicating different methods of investigation and different selection of patients compared to previous years. In acquired stridor the majority of infants showed laryngeal and tracheal trauma, mostly due to the use of too large tracheal tubes.
ISSN:1155-5645
1460-9592
DOI:10.1046/j.1460-9592.1998.00233.x