Laryngomalacia and Obstructive Sleep Apnea in Children

From Diagnosis to Treatment

Bibliographic Data

ID15712714
AuthorsLuca Cerritelli (0000-0001-7031-5399, University of Ferrara), Andrea Migliorelli (0009-0004-8980-3877, University of Ferrara), Alessio Larini (University of Ferrara), Andrea Catalano (University of Ferrara), Alberto Caranti (0000-0002-0698-937X, Azienda Unità Sanitaria Locale Della Romagna), Chiara Bianchini (0000-0002-5115-6107, University of Ferrara), Andrea Ciorba (0000-0003-3455-2295, University of Ferrara, corresponding author), Francesco Stomeo (University of Ferrara), Claudio Vicini (0000-0001-7725-711X, Azienda Unità Sanitaria Locale Della Romagna), Stefano Pelucchi (0000-0003-1524-369X, University of Ferrara)
Year2024
Volume11
Issue3
Pages284-284
Publication date2024-02-25
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children11030284
PMID38539319
OpenAlexW4392155511
LanguageEN
References cited76

The aim of this review is to investigate the state of the art among the association between Obstructive sleep apnea (OSA) and laryngomalacia, analyzing the epidemiology, the diagnostic tools, and the possible treatments available to affected patients. Laryngomalacia, characterized by the malacic consistency of the epiglottis with a tendency to collapse during inspiratory acts, producing a characteristic noise known as stridor, is a common condition in infants and particularly in those affected by prematurity, genetic diseases, craniofacial anomalies, and neurological problems. Congenital laryngomalacia, presenting with stridor within the first 15 days of life, is often self-limiting and tends to resolve by 24 months. OSA is not only a consequence of laryngomalacia but also exacerbates and perpetuates the condition. Currently, the treatments reported in the literature are based (i) on medical therapies (including watchful waiting) and (ii) on surgical treatments. Among the surgical techniques, the most described is supraglottoplasty, performed with the use of cold instruments, CO 2 LASER, transoral robotic surgery, or the microdebrider

Airway · Anesthesia · Apnea · Craniofacial · Epiglottis · Intensive care medicine · Laryngomalacia · Larynx · Obstructive sleep apnea · Polysomnography · Psychiatry · Stridor · Dysphagia Assessment and Management · Medicine · Obstructive Sleep Apnea Research · Tracheal and airway disorders · Pediatrics · Surgery

Tools

Open DOIOpen Access