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Poor feeding
Shortness of breath
Have wheezing
Difficulty breathing
Wheezing when breathing
Hard to breathe
Whistling when I breathe
Not seeing your symptoms? No worries!
What is Laryngomalacia?
Laryngomalacia literally translates to floppy voice box (larynx). The laryngeal structure is malformed and floppy, causing the tissues to fall over the airway opening and partially block it. It often presents shortly after birth with noisy breathing (stridor) and in severe cases can result in poor weight gain. Of note, there are many other reasons for neonates to have stridor and these conditions should be evaluated by a specialist to confirm the diagnosis and make sure it is nothing more serious.
Typical Symptoms of Laryngomalacia
- Child's skin turns pale or blue after crying
- Wheezing or whistling sounds when breathing
- Breathing is weaker than usual
- Face is persistently pale and lips are purplish-blue
- Difficulty breathing
- Child is not drinking any fluids
- Less responsive or fewer facial expressions lately
- Child refuses to eat
Diagnostic Questions for Laryngomalacia
Your doctor may ask these questions to check for this disease:
- Does the child's skin turn pale or blue when crying?
- Do you experience wheezing or whistling sounds when breathing?
- Is your breathing weaker than usual?
- Do you have pale face and purplish-blue lips constantly?
- Are you experiencing difficulty breathing?
Treatment of Laryngomalacia
In most cases, laryngomalacia goes away on its own within a year. However, if it is severe, medication or surgery may be necessary. Often gastroesophageal reflux (GERD) contributes to the laryngomalacia, and anti-reflux medication may be prescribed.
Reviewed By:
Eric A. Gantwerker, MD, MMSC (Otolaryngology (ENT))
Pediatric Otolaryngologist at Northwell Health and Associate Professor of Otolaryngology at Zucker School of Medicine at Hofstra/Northwell. He holds a Master of Medical Science (MMSc) in Medical Education with a special focus on educational technology, educational research, and game-based learning from Harvard Medical School and a Master of Science in Physiology and Biophysics from Georgetown University. He has a special interest in faculty development and has been a speaker or faculty at hundreds of local, national, and international courses and conferences. He is also an active blogger and podcaster for several organizations, including the Harvard Macy Institute (HMI), Harvard Medical School CME Online, and BackTable Innovations. He has been featured in the news and print for media outlets such as USA Today, Businesswire, The Washington Post, Nature Medicine, Fox News, and KevinMD. He was also the Vice President, Medical Director of a medical video game company, Level Ex from 2018 to 2023 that utilized game technology and psychology to create interactive experiences for healthcare professionals. | He is recognized as an expert on the implementation of educational technologies and gaming with a foundation in educational theory for health professions education. He was honored to be inducted as an Associate Member of the American College of Surgeons (ACS) Academy of Master Surgeon Educators and as an Associate Fellow of the Association for Medical Education in Europe (AMEE).
Rohini R, MD (Otolaryngology (ENT))
Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.
Content updated on May 13, 2024
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Bedwell J, Zalzal G. Laryngomalacia. Semin Pediatr Surg. 2016 Jun;25(3):119-22. doi: 10.1053/j.sempedsurg.2016.02.004. Epub 2016 Feb 18. PMID: 27301595.
https://www.sciencedirect.com/science/article/abs/pii/S1055858616000184?via%3DihubKlinginsmith M, Goldman J. Laryngomalacia. 2022 Jun 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 31334986.
https://www.ncbi.nlm.nih.gov/books/NBK544266/Dobbie AM, White DR. Laryngomalacia. Pediatr Clin North Am. 2013 Aug;60(4):893-902. doi: 10.1016/j.pcl.2013.04.013. Epub 2013 Jun 14. PMID: 23905826.
https://www.sciencedirect.com/science/article/abs/pii/S0031395513000722?via%3Dihub