Malacia refers to “softness” of airway structures.
Laryngomalacia
Dynamic collapse of the supraglottic structures of the larynx resulting in airway obstruction
Most common congenital an...
Symptoms may be present at birth or delayed until 1 to 2 months of age.
Inspiratory stridor
May be asymptomatic during sleep or quiet breathing
Worsens with crying, agitati...
Most cases resolve spontaneously by 15 to 18 months of age.
Observation and reassurance
Consider feeding modifications (pacing, positioning, texture change).
Stron...
In cases of isolated laryngomalacia and/or tra...
Ambrosio A, Brigger MT. Pediatric supraglottoplasty. Adv Otorhinolaryngol. 2012;73:101–104. [View Abstract on OvidInsights]
Carter J, Rahbar R, Brigger M, et al. International ...
Q32.0 Congenital tracheomalacia
Q31.5 Congenital laryngomalacia
95434006 tracheomalacia (disorder)
253737007 Congenital laryngo...
Q: When will the symptoms improve?
A: As anatomic structures mature with age, laryngomalacia symptoms may improve by 6 months of age, with usual resolution by 18 months of age. Primary tracheomalac...
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<bold>FIGURE 4.6 Lateral views of the adult lungs.</bold> Knowledge of the fissures between lungs facilitates a respiratory examination. Pneumonias and other fluid accumulations can be restricted to individual lung lobes and, thus, can be detected by appreciating a line of dullness, or rubbing when the chest wall is tapped or the lungs are auscultated.
<bold>FIGURE 4.6 Lateral views of the adult lungs.</bold> Knowledge of the fissures between lungs facilitates a respiratory ex...
<bold>FIGURE 4.11 Major families of respiratory stress.</bold> Most people who have difficulty breathing suffer from bronchitis, emphysema, asthma, or some combination of these. As shown schematically, a patient can experience one, two, or all three of these conditions at once. The box perimeter indicates patients with some form of airway obstruction (11). Patients with two or more of these conditions are more common than patients with only one.
<bold>FIGURE 4.11 Major families of respiratory stress.</bold> Most people who have difficulty breathing suffer from bronchiti...