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J Korean Soc Laryngol Phoniatr Logop > Volume 28(1); 2017 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2017;28(1): 20-24.
doi: https://doi.org/10.22469/jkslp.2017.28.1.20
후두연하증의 분류와 치료
박기철
성균관대학교 의과대학 삼성창원병원 이비인후과학교실
Classification and Management in Patients with Laryngomalacia
Gi Cheol Park
Department of Otolaryngology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
Correspondence  Gi Cheol Park ,Tel: (055) 233-5983, Fax: (055) 233-5441, Email: uuhent@gmail.com
Received: 1 May 2017; Revised: May 4, 2017   Accepted: 2 June 2017.  Published online: 30 June 2017.
ABSTRACT
Laryngomalacia is the most common congenital anomaly that causes inspiratory stridor and airway obstruction in the newborn. Symptoms begin to appear after weeks of age, become worse at 4-8 months, improve between 8-12 months, and usually heal naturally at 12-18 months. Despite these common natural processes, the symptoms of the disease can be very diverse and, in severe cases, require surgical treatment. The diagnosis can be made by suspicion of clinical symptoms and direct observation of the larynx with the spontaneous breathing of the child. Typical laryngeal features include omega-shaped epiglottis, retroflexed epiglottis, short aryepiglottic fold, poor visualization of the vocal folds, and edema of the posterior glottis, including inspiratory supra-arytenoid tissue prolapse. In this review, we discuss the classification and treatment based on symptoms and laryngoscopic findings in patients with laryngomalacia.
KEY WORDS: LaryngomalaciaClassificationManagementComorbidity
중심 단어: 후두연하증분류치료동반질환
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