Wednesday, May 31, 2017

- Causes of stridor In pediatrics.

Causes of stridor according to site of obstruction.
-Nose and pharynx: (by laryngeal compression)

  • Lingual thyroid or thyroglossal cyst 
  • Macroglossia(Beckwith-Wiedemann syndrome, hypothyroidism, Pompe disease, trisomy 21, hemangioma).
  • Micrognathia (Pierre Robin syndrome, Treacher Collins syndrome,DiGeorge syndrome)
  • Hypertrophic tonsils/adenoids
  • Retropharyngeal or peritonsillar abscess / hematoma
  • Tongue teratoma or dermoid 
  • Masses: e.g. cystic hygroma or other malformation
-Larynx:
Not acute:
  • Laryngomalacia
  • Congenital subglottic stenosis
  • Vocal cord paralysis
  • Laryngeal atresia/web 
  • Congenital Subglottic hemangioma
  • Vascular ring compression syndrome.
  • Laryngocele/cyst
  • Laryngeal papillomas 
  • GERD
Acute:
  • Acute Inflammatory Upper Airway Obstruction: (Croup,Laryngitis , Epiglotitis and Tracheitis) 
  • Spasmodic croup
  • Anaphylaxis
  • Angioneurotic edema
  • Foreign body aspiration
  • Hypocalcemic laryngospasm
- Proximal trachea
  • Tracheal web
  • Tracheomalacia
  • Bacterial tracheitis
  • External compression
  • Traceo-esophageal fistula 
Ibrahim samaha

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