Clinical observation of severe laryngomalacia an infant
- Authors: Zakharova M.L.1, Pavlov P.V.1, Kuznecova A.A.1, Rachkova K.K.1
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Affiliations:
- St. Petersburg State Pediatric Medical University
- Issue: Vol 9, No 2 (2018)
- Pages: 91-95
- Section: Articles
- URL: https://journals.rcsi.science/pediatr/article/view/8858
- DOI: https://doi.org/10.17816/PED9291-95
- ID: 8858
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Abstract
Relevance. Disorders of the larynx are a poorly studied section of pediatric otorhinolaryngology. In recent years, the incidence of congenital malformations of the larynx increases, and laryngomalacia is the most common. Diagnosis of this disease is difficult in the conditions of outpatient department without necessary equipment. However, each doctor should understand the importance of diagnosis of laryngomalacia, because this disease can get a severe form with a potential injury to the life and health of the child, especially during the catarrhal disease.
Objectives: development of diagnostic algorithm and the choice of optimal treatment strategy, intended to restoring of laryngeal functions.
Materials and methods. Your attention is the case of severe clinical course laringomalacia an infant and its surgical correction in the clinic of Otorhinolaryngology, St. Petersburg State Pediatric Medical University. The child was observed by the standard method: flexible laryngoscopy, x-ray examination of the neck in the lateral view, x-ray examination of the chest, laboratory blood tests.
Results. This article demonstrates the diagnostic algorithm and the choice of optimal treatment strategy, which avoids the imposition of tracheostomy and rehabilitation the child in infancy. A multidisciplinary approach to the treatment of children with laringomalacia is validated.
Conclusions. This clinical case is a striking example of the need for early diagnosis of the type of congenital malformation of the larynx in newborns with congenital stridor and other signs of dysfunction of the larynx.
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##article.viewOnOriginalSite##About the authors
Maria L. Zakharova
St. Petersburg State Pediatric Medical University
Author for correspondence.
Email: dr.essina@mail.ru
MD, PhD, Assistant Professor, Department of Otorhinolaryngology
Russian Federation, Saint PetersburgPavel V. Pavlov
St. Petersburg State Pediatric Medical University
Email: pvpavlov@mail.ru
MD PhD, Dr. Med. Sci., Professor, Department of Otorhinolaryngology
Russian Federation, Saint PetersburgAlla A. Kuznecova
St. Petersburg State Pediatric Medical University
Email: pediatr-kuznetsova@yandex.ru
MD PhD, Dr. Med. Sci., Professor, Department of Pediatrics
Russian Federation, Saint PetersburgKsenia K. Rachkova
St. Petersburg State Pediatric Medical University
Email: kseniarachkova@yandex.ru
MD, Student of the Department of Otorhinolaryngology
Russian Federation, Saint PetersburgReferences
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