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Stridor, is it always laryngomalacia in an infant?
Bazlin Ramly1, Asim Khan2.
OC, a 3 week old infant presented with acute episode of shortness of breath associated with cough and was diagnosed as bronchiolitis initially but readmitted at the age of 4 weeks and 6 weeks with almost similar complaint but in addition with worsening stridor. She was diagnosed to have laryngomalacia. The stridor was biphasic in nature with a more pronounced inspiratory component and was exacerbated by agitation and supine positioning. Initial beside fibreoptic examination by otolaryngology did not reveal any clear structural abnormalities, but it was unable to assess beyond the vocal cords. Due to the worsening respiratory distress and clinician/ parental concern, OC was then referred to ENT team in tertiary hospital to seek the underlying problem. She hadundergone microlaryngoscopy and bronchoscopy (MLB) which showed subglottic haemangioma and proceeded with magnetic resonance imaging. She was commenced on Propranolol and she responded very well to the treatment. She is still under follow up and will be continued on Propranolol till the age of 18 months when she will be reassessedagain.
Affiliation:
- Letterkenny University Hospital, Ireland
- Letterkenny University Hospital, Ireland
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