Brennan Tara, Rastatter Jeffrey C
Division of Pediatric Otolaryngology, Children's Memorial Hospital, Chicago, IL, United States.
Int J Pediatr Otorhinolaryngol. 2013 Jan;77(1):128-9. doi: 10.1016/j.ijporl.2012.08.023. Epub 2012 Sep 17.
Laryngomalacia is the most common cause of neonatal stridor, accounting for up to 60% of cases [1]. Less common causes of neonatal stridor include subglottic or tracheal stenosis, or congenital masses of the upper airway. Neonates with an identified congenital etiology of symptomatic upper airway obstruction often have synchronous airway lesions leading to multilevel airway obstruction. These infants deserve an endoscopic evaluation to better diagnose and manage respiratory distress. Here we present a rare case of an infant initially diagnosed with croup, but ultimately found to have multilevel airway obstruction including severe laryngomalacia and an obstructing tongue base mass.
喉软化是新生儿喘鸣最常见的原因，占病例的60%[1]。新生儿喘鸣较不常见的原因包括声门下或气管狭窄，或上呼吸道先天性肿物。有明确先天性病因导致症状性上呼吸道梗阻的新生儿往往有同步气道病变，导致多平面气道梗阻。这些婴儿需要进行内镜评估，以更好地诊断和处理呼吸窘迫。在此，我们报告一例罕见病例，一名婴儿最初被诊断为哮吼，但最终发现有多平面气道梗阻，包括严重喉软化和阻塞性舌根肿物。
