Abstract
Introduction: Stridor usually manifests after birth or at the age of 1 month and often disappears at 2-4 years of age without any treatment. The absence of data on growth and development of children with congenital stridor in literature have become the point of our research.
Objective: To evaluate the impact of congenital stridor in infants as a predictor of chronic diseases.
Methods: We examined 114 1-year old patients with congenital stridor. 60 children were included in 5-year catamnesis data. Our cohort consisted of children with persistent congenital stridor, excluding children with stridor due to ARD or tracheal intubation.
Results: On their admission to the hospital all children had stridor of various degrees, 21,9% had regurgitation, 7% - choking, 7,9% - projectile vomiting, 5,3% were short-winded, 4,4% had sleep apnea and voice change. All children underwent thorough examination, rhinolahryngoscopy was performed in 94 patients.
Laryngomalacia was diagnosed in 80%, accompanied by pharyngolaryngeal reflux and gastroesophageal reflux in 93,3%. Reflux-esophagitis without inflammatory changes was found in 53,3%. All patients had connective tissue dysplasia. Mitral valve failure was present in 35%, PFO - in 16,7%, heart rate abnormalities - in 21,7%. Chest deformations were found in 45%, hypermobility of joints - in 38,8%.
Conclusions: Congenital stridor may serve as a predictor of chronic disorders of gastrointestinal tract, ENT-system, dysplasia of connective tissue, cardiovascular diseases. Children with congenital stridor need to undergo detailed examinations and long-term regular medical check-ups in order to minimize the risk of complications.
- © 2011 ERS
